CMS Price Transparency Data

Blood test, vitamin D

Facility: Stoughton Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $97
Cash Discount Price: $108
vs. Medicare Baseline: 3.28x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Stoughton Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.28x the Medicare baseline. Located in 900 Ridge St, Stoughton, WI.

Cash / Self-Pay

$108

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $108 (365%)

Insurance Median: $97 (328%)

Cash: $108 (365% of Medicare)

Ins. Median: $97 (328% 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 328% of the Medicare baseline (a markup of 228%). 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
Medicaid / KanCare	$27	91%
Tricare	$31 - $62	105%
Healthnet Mcr Adv - All Plans	$35 - $69	118%
Dean Health Insurance Med Adv	$37 - $73	125%
Humana	$37 - $235	125%
Quartz Mcr Adv	$37 - $73	125%
Security Health/First Health - All Plans	$37 - $73	125%
Aetna	$39 - $222	132%
Alliance - All Plans	$39 - $77	132%
UnitedHealthcare	$58 - $209	196%
Quartz Health Solutions - All Other Lans	$96	324%
Geha - All Plans	$99 - $196	334%
Cigna	$105 - $209	355%
Wisconsin Ppo Ppa Direct - All Plans	$105 - $209	355%
Blue Cross Blue Shield	$114 - $227	385%
Wps - All Plans	$118 - $235	399%
Dean Health Insurance Comm - All Other Plans	$165	557%
Dean Health Insurance Epo	$165	557%

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 $108.
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 Stoughton 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.