CMS Price Transparency Data

Blood test, vitamin D

Facility: Margaretville Memorial Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $260
Cash Discount Price: $590
vs. Medicare Baseline: 8.78x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Margaretville Memorial Hospital is $260. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $590. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 8.78x the Medicare baseline. Located in 42084 State Highway 28, Margaretville, NY.

Cash / Self-Pay

$590

Average discount available for prompt cash payment at this facility.

Insurance Median

$260

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: $590 (1993%)

Insurance Median: $260 (878%)

Cash: $590 (1993% of Medicare)

Ins. Median: $260 (878% 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 878% of the Medicare baseline (a markup of 778%). 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
Oxford	$44	149%
UnitedHealthcare	$44 - $260	149%
Aetna	$80 - $590	270%
Mvp	$126	426%
Mvp Hmo/Ppo	$148	500%
Blue Cross Blue Shield	$174 - $260	588%
Self-Pay	$250	845%
Medicare (plans)	$260 - $389	878%
Hamaspik (McR)	$260	878%
Mvp Gold (McR)	$260	878%
Affinity By Molina McR	$273	922%
Cdphp	$286	966%
Emblem Ghi/Hip Ppo/Cbp	$366	1236%
Mvp Exchange	$384	1297%
Emblem Select Care (Exchange)	$401	1355%
Magnacare Standard	$413	1395%
Oxford Exchange	$413	1395%
Todays Options	$428	1446%
Emblem Ghi/Hip Hmo/Epo/Pos	$472	1595%
Multiplan	$484	1635%
First Health	$531	1794%
Magnacare Preferred	$2,330	7872%

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 $590.
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 Margaretville Memorial 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.