CMS Price Transparency Data

Blood test, vitamin D

Facility: Froedtert Community Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $95
Cash Discount Price: $122
vs. Medicare Baseline: 3.21x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Froedtert Community Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.21x the Medicare baseline. Located in 4805 S Moorland Rd, New Berlin, WI.

Cash / Self-Pay

$122

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $122 (412%)

Insurance Median: $95 (321%)

Cash: $122 (412% of Medicare)

Ins. Median: $95 (321% 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 321% of the Medicare baseline (a markup of 221%). 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
Blue Cross Blue Shield	$30 - $59	101%
Care Wisconsin	$30	101%
Community Care	$30	101%
Health Partners	$30 - $144	101%
Humana	$30	101%
Icare	$30	101%
Molina	$30	101%
Network Health Plan	$30 - $36	101%
Security Health Plan Secure Savers	$30	101%
UnitedHealthcare	$30 - $36	101%
Chorus Community Health Plan	$89	301%
Medical College Of Wisconsin	$89	301%
Centivo	$95 - $111	321%
Cigna	$130	439%
Common Ground	$133	449%
Sheboygan Employers Health Network	$133	449%
Wisconsin Physician Services	$133	449%
Health Payment Systems	$136	459%
Trilogy	$144	486%
Americas Choice	$193	652%
Healtheos	$193	652%
Multiplan/Private Healthcare Systems	$193	652%
First Health Network	$195	659%

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 $122.
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 Froedtert Community Hospital 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.