CMS Price Transparency Data

Blood test, vitamin D

Facility: St Anthony Community Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $228
  • Cash Discount Price: $471
  • vs. Medicare Baseline: 7.70x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at St Anthony Community Hospital is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $471. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 7.70x the Medicare baseline. Located in 15 Maple Avenue -19, Warwick, NY.
Cash / Self-Pay
$471

Average discount available for prompt cash payment at this facility.

Insurance Median
$228

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: $471 (1591%)
Insurance Median: $228 (770%)
Cash: $471 (1591% of Medicare)
Ins. Median: $228 (770% 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 770% of the Medicare baseline (a markup of 670%). 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
Mvp Gold (McR) $30 101%
Medicare (plans) $30 - $32 101%
Hamaspik (McR) $30 101%
Affinity By Molina McR $31 105%
Tricare $32 108%
Aetna $52 - $57 176%
Cigna $63 - $330 213%
Emblem Select Care (Exchange) $74 250%
Emblem Ghi/Hip PPO $87 294%
Geisinger Health Commercial/Exchange $98 331%
Magnacare Preferred $117 395%
Mvp Exchange $128 432%
Self-Pay - Cc 30% $141 476%
Blue Cross Blue Shield $226 - $1,397 764%
Self-Pay - Cc 50% $236 797%
Oxford Exchange $236 797%
Cdphp $236 797%
Mvp Hmo/Ppo $249 841%
Self-Pay $250 845%
UnitedHealthcare $330 1115%
Oxford Commercial $330 1115%
PHCS $353 1193%
Multiplan $353 1193%
Emblem Ghi/Hip Hmo/Epo/Pos $377 1274%
First Health $400 1351%
Mvp $4,144 - $4,884 14000%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15 Maple Avenue -19, Warwick, NY 10990
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals