CMS Price Transparency Data

Blood test, vitamin D

Facility: St Joseph's Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $99
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 3.34x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at St Joseph's Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.34x the Medicare baseline. Located in 12866 Troxler Avenue, Highland, IL.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $84 (284%)
Insurance Median: $99 (334%)
Cash: $84 (284% of Medicare)
Ins. Median: $99 (334% 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 334% of the Medicare baseline (a markup of 234%). 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
Humana $23 - $116 78%
Aetna $23 - $116 78%
Molina Healthcare $23 - $116 78%
Sae Hospice $23 - $116 78%
UnitedHealthcare $23 - $116 78%
Blue Cross Blue Shield $23 - $116 78%
Clear Spring Health of Illinois $23 - $116 78%
Amish Community $32 108%
Meridian Health Plan $48 162%
Naphcare $49 - $244 166%
Celtic Insurance Company $51 - $116 172%
Hopetrust $58 - $116 196%
Claim Doc $58 - $290 196%
Caterpillar, Inc. $59 199%
Cigna $72 243%
Wellfirst $74 250%
First Health $86 291%
Healthlink $99 334%
Multiplan/Phcs $99 334%
Provider Network of America $104 351%
Healthcare Finest Network (Hfn) $104 351%
Qtc Medical Group of Illinois $116 392%
Interplan $116 392%
Illinois Breast and Cervical Cancer Program $116 392%
Consociate Group $116 392%
Healthscope $116 392%
Mental Health Network $116 392%
Health Alliance Medical Plans $116 392%
Current Health Solutions $116 392%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12866 Troxler Avenue, Highland, IL 62249
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals