Blood test, vitamin D
Facility: Lmh
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $33
- Cash Discount Price: $69
- vs. Medicare Baseline: 1.11x 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 |
|---|---|---|
| UnitedHealthcare | $25 - $279 | 84% |
| Blue Cross Blue Shield | $25 - $30 | 84% |
| Cigna | $30 - $274 | 101% |
| Humana | $30 - $274 | 101% |
| Medicare (plans) | $30 - $274 | 101% |
| Haskell Indian Health Services | $30 | 101% |
| Allwell | $30 | 101% |
| Aetna | $33 - $228 | 111% |
| Ambetter / Centene | $46 | 155% |
| Non Contracted | $219 | 740% |
| First Health | $255 | 861% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin D at Lmh in Lawrence, KS, the facility's cash price of $69.00 is significantly higher than the state average of $33.00 and the county average of $29.60. While commercial insurance plans like UnitedHealthcare and Cigna negotiate rates ranging from $25 to $274, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $69.00 rate is lower than the maximum negotiated amounts seen for many insurers. It is important to verify the specific allowed amount for your plan before scheduling, as in-network rates can vary widely between facilities.
To potentially lower your out-of-pocket costs, you should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront. Additionally, since the facility is an Acute Care Hospital in Kansas, you can use the Medicare rate of $29.60 as a benchmark to evaluate if the negotiated rates are fair; commercial rates typically average 200% to 300% of this baseline, whereas fair pricing is often defined as 120% to 150%. If you receive a bill after using insurance, request a full itemized audit to ensure no errors or unbundled charges are included, as over 80% of hospital bills contain discrepancies. Always check your deductible status before proceeding, as paying the full negotiated rate without meeting your deductible can result in higher costs than paying cash.