Blood test, vitamin D
Facility: Pratt Regional Medical Center
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $309
- Cash Discount Price: $254
- vs. Medicare Baseline: 10.44x 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 1044% of the Medicare baseline (a markup of 944%). 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 |
|---|---|---|
| Christian Health Aid | $252 - $273 | 851% |
| UnitedHealthcare | $280 - $371 | 946% |
| Health Partners Of Kansas | $286 - $309 | 966% |
| Aetna | $302 - $328 | 1020% |
| Choicecare | $336 - $364 | 1135% |
Consumer Guidance & Cost Commentary
For this vitamin D blood test at Pratt Regional Medical Center in Pratt, KS, the facility's cash median price of $254.00 is notably lower than the state average, which sits at $363.00. While the facility's negotiated rates range from $252 to $371 depending on the insurance carrier, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. It is important to note that the facility's cash rate is also lower than the Medicare benchmark of $29.60, which serves as the objective baseline for evaluating pricing markups. Commercial rates typically average 200% to 300% of Medicare, whereas fair pricing is generally defined as 120% to 150%, suggesting that the cash price here represents a significant discount compared to standard commercial billing structures.
Patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce costs by bypassing administrative fees and claims processing overhead. Although the facility is in-network for several major payers, the negotiated rates do not guarantee the lowest possible price, as some insurers may pay significantly more than the cash option. To ensure you are not overcharged, request a detailed, itemized bill that lists specific CPT codes rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled charges. Given the facility's proprietary ownership and location in a specific geographic area, always confirm your deductible status and ask about any available discounts prior to receiving care.