CMS Price Transparency Data

Blood test, vitamin D

Facility: Black River Memorial Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $266
Cash Discount Price: $260
vs. Medicare Baseline: 8.99x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Black River Memorial Hospital is $266. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $260. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 8.99x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$260

Average discount available for prompt cash payment at this facility.

Insurance Median

$266

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: $260 (878%)

Insurance Median: $266 (899%)

Cash: $260 (878% of Medicare)

Ins. Median: $266 (899% 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 899% of the Medicare baseline (a markup of 799%). 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	$17 - $147	57%
Group Health Cooperative Of Eau Claire	$31 - $280	105%
My Choice Wisconsin, Inc.	$31 - $147	105%
Quartz Health Solutions, Inc	$31 - $263	105%
UnitedHealthcare	$31 - $273	105%
Humana	$147 - $269	497%
Security Health Plan	$147 - $270	497%
Corvel	$176	595%
The Alliance	$246 - $277	831%
Triology Health Solutions	$260 - $275	878%
Medica	$270	912%
Association Benefits Solution	$275	929%
Family Health Center Of Marshfield	$275	929%
First Health Group Corporation	$275	929%
Provider Network Of America	$275	929%
Cigna	$280	946%
Cofinity	$280	946%
Coventry Health Care	$280	946%
Custom Benefit Administrators	$280	946%
Healthpartners, Inc.	$280	946%
Multiplan	$280 - $286	946%
Wisconsin Physicians Service Insurance Corp	$280	946%
Chorus	$283	956%

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 $260.
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 Black River Memorial 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.