Blood test, vitamin D
Facility: Menorah Medical Center
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $108
- Cash Discount Price: $706
- vs. Medicare Baseline: 3.65x 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 365% of the Medicare baseline (a markup of 265%). 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 |
|---|---|---|
| Cigna | $15 - $677 | 51% |
| United | $25 - $381 | 84% |
| Amerigroup | $25 | 84% |
| Medicaid / KanCare | $26 | 88% |
| Unicare | $26 | 88% |
| Aetna | $26 - $432 | 88% |
| Healthyblue | $26 | 88% |
| Home State Health Plan | $28 | 95% |
| Blue Cross Blue Shield | $29 - $381 | 98% |
| Coventry | $29 - $340 | 98% |
| Humana | $30 - $72 | 101% |
| Devoted Health | $30 | 101% |
| Celtic | $30 | 101% |
| Wellcare | $30 | 101% |
| Triwest Health Alliance | $31 | 105% |
| Pyramid Life | $32 | 108% |
| Oscar | $45 | 152% |
| Multiplan | $53 - $626 | 179% |
| Corvel Corporation | $63 - $550 | 213% |
| Oha Network | $66 - $423 | 223% |
| Ambetter / Centene | $105 - $157 | 355% |
| Nhc Advantage | $108 - $161 | 365% |
| Wppa Providrs Care Network | $113 - $169 | 382% |
| Universal Healthcare | $198 - $296 | 669% |
| Coventry Kc Mo | $232 - $347 | 784% |
| College Park Family Care Center | $243 - $364 | 821% |
| Focus Healthcare Mgmt, Inc | $425 - $635 | 1436% |
| Cco, Inc. | $425 - $635 | 1436% |
Consumer Guidance & Cost Commentary
For this vitamin D blood test at Menorah Medical Center in Overland Park, KS, the cash price is $706.00, which matches the facility's median paid amount. While commercial insurance plans like Cigna and United have negotiated rates ranging from $15 to $677, these figures 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 commercial rates can vary significantly by payer; for instance, some plans like Multiplan and Corvel Corporation have negotiated rates as high as $626 and $550 respectively, which are still lower than the cash price but higher than the lowest negotiated rates found with Cigna. To potentially lower costs, patients should verify if their specific plan has a lower allowed amount or inquire directly with the hospital about self-pay or prompt-pay discounts, which can reduce the final bill by 20% to 50% if paid upfront.
When evaluating the cost of this service, it is crucial to compare rates against the Medicare benchmark rather than the hospital's gross chargemaster list. The Medicare amount for this procedure is $29.60, which serves as the objective baseline for fair pricing. Commercial negotiated rates for this test generally fall between 300% and 2,000% of the Medicare rate, reflecting the administrative costs and contract dynamics of insurance billing. For example, while the lowest negotiated rate is $15 (Cigna), the highest is $677 (Cigna), creating a wide disparity that patients must navigate carefully. If a patient receives a bill that includes unexpected charges beyond the negotiated or cash rate, they should