CMS Price Transparency Data

Blood test, vitamin D

Facility: Mercy St Francis Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $227
Cash Discount Price: $164
vs. Medicare Baseline: 7.67x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercy St Francis Hospital is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 7.67x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$227

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: $164 (554%)

Insurance Median: $227 (767%)

Cash: $164 (554% of Medicare)

Ins. Median: $227 (767% 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 767% of the Medicare baseline (a markup of 667%). 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	$25 - $131	84%
Aetna	$29 - $224	98%
UnitedHealthcare	$29 - $239	98%
Blue Cross Blue Shield	$29 - $244	98%
Medicare (plans)	$29 - $90	98%
Mercy Mgd Behavioral Health Contracted [320259]	$69 - $86	233%
Mercy Hospice Okc [20252]	$69 - $86	233%
Halo Hcr Inc Hospice [20432]	$69 - $86	233%
Qual Choice Contracted [320325]	$69 - $86	233%
Cross Timbers Hospice [20098]	$69 - $86	233%
Elara Caring Aspire Hospice [20433]	$69 - $86	233%
Kindful Hospice [20434]	$69 - $86	233%
Dept of Veteran Affairs Contracted [320106]	$69 - $86	233%
Halo Hcr Inc Hospice Contracted [320432]	$69 - $86	233%
Cherokee Nation Health Serv Contracted [320066]	$69 - $86	233%
Cigna	$69 - $239	233%
Pace of the Ozarks Contracted [320518]	$69 - $86	233%
Humana	$69 - $227	233%
Globalhealth Contracted [320145]	$69 - $86	233%
Indian Health Service Contracted [320198]	$69 - $86	233%
Acentra Health Contracted [320527]	$69	233%
Provider Partners Health Plans Contracted [320450]	$69 - $86	233%
Kindful Hospice Contracted [320434]	$69 - $86	233%
Medical Associates Health Contracted [320444]	$69 - $86	233%
Tricare	$86	291%
Healthscope Contracted [320182]	$87 - $115	294%
Administrative Payor Contracted [320005]	$113	382%
Centivo Contracted [320505]	$114 - $146	385%
Ambetter / Centene	$131	443%
Home State Health Plan Contracted [320187]	$131	443%
Novasys Contracted [320285]	$131	443%
Healthlink Contracted [320179]	$164 - $239	554%
Preferred Health Plan Contracted [320522]	$164	554%
Workers Comp [20426]	$202 - $214	682%
Point C Contracted [320238]	$227 - $239	767%
Auxiant Contracted [320462]	$227 - $239	767%
Mercy Benefit Admin Contracted [320251]	$227 - $239	767%
United Medical Resources Contracted [320454]	$227 - $234	767%
Medica Contracted [320239]	$238	804%
Imagine 360 Contracted [320494]	$239	807%
Evolutions Health Care Contracted [320124]	$239	807%
Edison Health Solutions Contracted [320502]	$239	807%
First Health Contracted [320128]	$239	807%
USA Managed Care Org Contracted [320429]	$239	807%
Yuzu Health Contracted [320521]	$239	807%
Aither Health Contracted [320449]	$239	807%
90 Degree Benefits Contracted [320436]	$239	807%
Benefit Management Contracted [320052]	$239	807%
Multiplan Contracted [320270]	$239	807%
Private Health Care Systems Contracted [320320]	$239	807%
Point C [20238]	$239	807%
Show-Me Health Administrators Contracted [320483]	$239	807%
Health Systems Inc Contracted [320174]	$239	807%
Reflect Health Contracted [320492]	$239	807%
Ebms Contracted [320493]	$239	807%
Insurance System Inc Contracted [320465]	$239	807%

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 $164.
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 Mercy St Francis 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.