CMS Price Transparency Data

Blood test, vitamin D

Facility: Childrens Hospital of Wisconsin Fox Valley

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $182
  • Cash Discount Price: $153
  • vs. Medicare Baseline: 6.15x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Childrens Hospital of Wisconsin Fox Valley is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 6.15x the Medicare baseline. Located in 130 Second St, Neenah, WI.
Cash / Self-Pay
$153

Average discount available for prompt cash payment at this facility.

Insurance Median
$182

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: $153 (517%)
Insurance Median: $182 (615%)
Cash: $153 (517% of Medicare)
Ins. Median: $182 (615% 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 615% of the Medicare baseline (a markup of 515%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Chorus Community Health Plan $30 101%
My Choice Wisconsin $30 - $33 101%
UnitedHealthcare $30 - $269 101%
Managed Health Services $32 108%
Molina Healthcare Of Wisconsin $32 108%
Blue Cross Blue Shield $34 - $336 115%
Icare $37 125%
Froedtert Health $141 - $301 476%
Medical College Of Wisconsin $141 - $248 476%
Network Health Plan $143 - $252 483%
Aspirus Health Plan $151 - $265 510%
Common Ground Healthcare Cooperative $151 - $301 510%
Trilogy Health Solutions $151 - $301 510%
Wps Health Plan $153 - $318 517%
Advocate Aurora Healthcare $155 - $272 524%
Centivo $157 - $276 530%
Health Partners $157 - $311 530%
Employer Health Care Alliance Cooperative $158 - $278 534%
Dean Health Plan $161 - $283 544%
Group Health Cooperative Of Eau Claire $161 - $283 544%
Oan Llc $161 - $283 544%
Security Health Plan $167 - $294 564%
Health Payment Systems $170 - $299 574%
Praire States $171 - $301 578%
Quartz Health Insurance $171 - $301 578%
Sheboygan Employer'S Health Network $171 - $301 578%
America'S Ppo $175 - $308 591%
Aetna $177 - $315 598%
Bellin Thedacare $181 - $318 611%
Cigna $181 - $318 611%
Group Health Cooperative Of South Central Wisconsin $181 - $318 611%
Healthsmart $181 - $318 611%
Prevea Health Network $181 - $318 611%
Multiplan $183 - $336 618%
Coventry Health Care $191 - $336 645%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Second St, Neenah, WI 54956
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens