Blood test, vitamin D
Facility: Wesley Medical Center
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $66
- Cash Discount Price: $2,358
- vs. Medicare Baseline: 2.23x 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 223% of the Medicare baseline (a markup of 123%). 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 |
|---|---|---|
| UnitedHealthcare | $25 | 84% |
| Amerigroup | $26 | 88% |
| Medicaid / KanCare | $26 | 88% |
| Aetna | $26 - $842 | 88% |
| Humana | $30 | 101% |
| Devoted Health | $30 | 101% |
| Coventry Health Care | $30 | 101% |
| United | $30 - $1,061 | 101% |
| Ambetter / Centene | $31 - $424 | 105% |
| Triwest Health Alliance | $31 | 105% |
| Correct Care Solutions | $44 | 149% |
| First Health | $63 - $1,087 | 213% |
| Multiplan | $66 - $2,122 | 223% |
| Blue Cross Blue Shield | $162 | 547% |
| Health Partners Of Kansas | $408 - $1,179 | 1378% |
| Wppa | $410 | 1385% |
| Medical Associates Health Plan | $446 | 1507% |
| Preferred Health Choices | $446 | 1507% |
| Spirit Aerosystems | $755 | 2551% |
| Triwest Healthcare Alliance | $1,533 | 5179% |
| Usa Managed Care | $2,004 | 6770% |
Consumer Guidance & Cost Commentary
For CPT code 82306, a blood test for vitamin D at Wesley Medical Center in Wichita, KS, the cash price is $2,358. This amount aligns exactly with the facility's cash median and is significantly higher than the Medicare benchmark rate of $29.60, which serves as the federal baseline for evaluating hospital pricing markups. While the facility offers a negotiated rate of $66.00 for in-network insurance plans, this figure represents a substantial markup over the Medicare benchmark, consistent with commercial rates that often average 200% to 300% of the Medicare amount. Patients should be aware that relying on the hospital's gross charge list can be misleading; true cost transparency requires comparing all rates against the Medicare benchmark rather than the inflated chargemaster.
To minimize out-of-pocket costs, patients with high-deductible plans may find that paying the cash price directly is more affordable than using insurance, as the negotiated rate of $66.00 could exceed the cash price depending on individual plan structures and deductibles. It is crucial to verify your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in higher total expenses than paying cash outright. Additionally, patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. If you have already received a bill, request a detailed itemized statement to review every line item for potential errors, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit.