Blood test, vitamin D
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $154
- Cash Discount Price: $112
- vs. Medicare Baseline: 5.20x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 520% of the Medicare baseline (a markup of 420%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Lucent Health [6000] | $154 | 520% |
| Aetna | $154 | 520% |
| Black Lung [6055] | $154 | 520% |
| Web Tpa [2115] | $154 | 520% |
| Blue Cross Blue Shield | $154 | 520% |
| Hooray Health [8000] | $154 | 520% |
| Healthcare Highways [2210] | $154 | 520% |
| Oncology Patient Assistance Programs [2295] | $154 | 520% |
| Department Of Corrections [1340] | $187 | 632% |
| Cigna | $217 | 733% |
| National Association Of Letter Carriers [1695] | $217 | 733% |
| American Postal Workers Union [1070] | $217 | 733% |
| Healthpartners [1500] | $217 | 733% |
| Humana | $221 | 747% |
| American Healthcare [1055] | $291 | 983% |
| First Health [1375] | $291 | 983% |
| Multiplan [1680] | $291 | 983% |
| Administrative Concepts [1005] | $291 | 983% |
| Coventry Healthcare [1320] | $307 | 1037% |
| Ks Disability Determination [6090] | $375 | 1267% |
Consumer Guidance & Cost Commentary
For the vitamin D blood test (CPT 82306) at the University Of Kansas Health System - St Francis Campus, the facility's cash price of $112.00 is significantly lower than the average negotiated rate of $154.00 paid by most insurance plans. While the gross charge listed is $375.00, commercial payers such as Aetna, Blue Cross Blue Shield, and Humana have agreed to pay $154.00, which is still higher than the cash option. This pricing structure highlights that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price directly can result in substantial savings compared to using insurance, as the negotiated rate often exceeds the self-pay amount.
When comparing this specific service to broader benchmarks, the facility's cash rate of $112.00 is notably lower than the Medicare benchmark of $29.60, reflecting the complexity of the test and local cost factors, while the median negotiated rate of $154.00 sits above the Medicare amount. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details before scheduling. To ensure you receive the most favorable rate, we recommend contacting the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final cost.