Blood test, vitamin D
Facility: Kansas Heart Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $30
- Cash Discount Price: $69
- vs. Medicare Baseline: 1.01x 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 |
|---|---|---|
| Aetna | $18 - $46 | 61% |
| Wppa - All Plans | $25 - $62 | 84% |
| Tricare | $27 | 91% |
| Medicaid / KanCare | $30 | 101% |
| Humana | $30 | 101% |
| Celtic Mcr Adv | $30 | 101% |
| UnitedHealthcare | $30 | 101% |
| Multiplan - All Plans | $56 - $140 | 189% |
| Blue Cross Blue Shield | $147 | 497% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Kansas Heart Hospital in Wichita, KS, the facility's cash median rate of $69.00 is significantly lower than the negotiated rates paid by most major payers, which range from $18 to $147 depending on the insurance plan. While the facility's negotiated rate of $30.00 is lower than its gross charge of $109.00, it remains higher than the cash price, illustrating that paying out-of-pocket can sometimes be the most cost-effective option for patients with high-deductible plans or those without insurance. To maximize savings, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the administrative overhead of insurance claims processing and often result in a lower final bill than the standard negotiated amount.
When evaluating the cost of this service, it is important to compare the facility's pricing against objective benchmarks rather than the hospital's inflated list prices. The Medicare amount for this procedure is $29.60, which serves as a scientifically validated baseline for the true cost of care; commercial negotiated rates often exceed this by a significant margin due to administrative structures and contract dynamics. Although specific county or state average data was not provided in the current dataset, patients should be aware that the No Surprises Act protects them from balance billing for out-of-network services at in-network facilities, and they should always request a detailed, itemized bill to verify that no unbundled codes or services not rendered have been charged.