CMS Price Transparency Data

Blood test, vitamin D

Facility: Aurora Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $87
Cash Discount Price: $150
vs. Medicare Baseline: 2.94x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Aurora Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.94x the Medicare baseline. Located in 975 Port Washington Road, Grafton, WI.

Cash / Self-Pay

$150

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)

Cash / Self-Pay: $150 (507%)

Insurance Median: $87 (294%)

Cash: $150 (507% of Medicare)

Ins. Median: $87 (294% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 294% of the Medicare baseline (a markup of 194%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$24 - $253	81%
Aurora Caregiver	$30	101%
Blue Cross Blue Shield	$30 - $255	101%
Common Ground	$62 - $65	209%
Centivo	$65	220%
Aetna	$66 - $248	223%
Health Payment Systems	$74	250%
Quartz One	$74	250%
Healthpartners	$79 - $225	267%
Molina Exchange	$82	277%
Hs Technology	$83	280%
Cigna	$86 - $254	291%
Quartz Group	$86	291%
Everpointe Elite	$87	294%
Wisconsin Physician Service	$96 - $101	324%
Trilogy	$104	351%
Health Eos Plus	$180	608%
Health Eos	$240	811%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $150.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82306.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Aurora Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82306.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.