Blood test, vitamin D
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $49
- Cash Discount Price: $295
- vs. Medicare Baseline: 1.66x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $25 - $263 | 84% |
| Medicaid / KanCare | $25 - $50 | 84% |
| Humana | $26 - $29 | 88% |
| Aetna | $26 - $386 | 88% |
| UnitedHealthcare | $27 - $306 | 91% |
| Medica Contracted [320239] | $28 | 95% |
| Dept Of Veteran Affairs Contracted [320106] | $29 | 98% |
| Halo Hcr Inc Hospice Contracted [320432] | $29 | 98% |
| Mercy Hospice Okc [20252] | $29 | 98% |
| Cross Timbers Hospice [20098] | $29 | 98% |
| Kindful Hospice Contracted [320434] | $29 | 98% |
| Halo Hcr Inc Hospice [20432] | $29 | 98% |
| Medicare (plans) | $29 | 98% |
| Pace Of The Ozarks Contracted [320518] | $29 | 98% |
| Elara Caring Aspire Hospice [20433] | $29 | 98% |
| Tricare | $29 | 98% |
| Kindful Hospice [20434] | $29 | 98% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $31 | 105% |
| Health Choice Contracted [320166] | $40 | 135% |
| Ambetter / Centene | $50 | 169% |
| Home State Health Plan Contracted [320187] | $50 | 169% |
| Providrs Care Network Contracted [320484] | $56 | 189% |
| Cigna | $165 - $169 | 557% |
| United Medical Resources Contracted [320454] | $306 | 1034% |
| Yuzu Health Contracted [320521] | $363 | 1226% |
| Reflect Health Contracted [320492] | $363 | 1226% |
| Aither Health Contracted [320449] | $363 | 1226% |
| Workers Comp [20426] | $363 | 1226% |
| Imagine 360 Contracted [320494] | $363 | 1226% |
| Healthlink Contracted [320179] | $363 | 1226% |
| Ebms Contracted [320493] | $363 | 1226% |
| Edison Health Solutions Contracted [320502] | $363 | 1226% |
| American Healthcare Alliance Contracted [320020] | $363 | 1226% |
| Auxiant Contracted [320462] | $363 | 1226% |
| Mercy Benefit Admin Contracted [320251] | $363 | 1226% |
| First Health Contracted [320128] | $386 | 1304% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin D at Mercy Hospital Pittsburg, Inc, the cash price is $295, which is lower than the facility's gross charge of $454 but higher than the state average of $295. While many insurance plans negotiate rates ranging from $25 to $386, patients with high-deductible plans may find paying cash directly more affordable, as the cash price often beats the negotiated rates charged by commercial payers like Aetna and UnitedHealthcare. It is important to verify your specific plan's deductible status before scheduling, as paying out-of-pocket could save money if your insurance allowed amount exceeds the cash price. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront fee reductions can further lower the final cost.
The facility's pricing is benchmarked against Medicare, which sets a baseline rate of $29.60 for this procedure. The cash price of $295 represents a significant markup compared to the federal government's cost-based reimbursement, illustrating the difference between the true cost of care and commercial pricing. While the facility is a voluntary non-profit church-owned hospital in Pittsburg, KS, and holds a rating of 3, patients should be aware that balance billing can still occur if services are rendered by out-of-network providers, even at an in-network facility. To avoid unexpected bills, consumers should request a full itemized CPT-coded bill before paying and dispute any errors in writing rather than accepting summary invoices.