Blood test, vitamin D
Facility: Kansas City Orthopaedic Institute
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $77
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.60x 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 260% of the Medicare baseline (a markup of 160%). 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 |
|---|---|---|
| Aetna | $30 | 101% |
| UnitedHealthcare | $30 | 101% |
| Cigna | $30 | 101% |
| Blue Cross Blue Shield | $77 | 260% |
Consumer Guidance & Cost Commentary
For the CPT code 82306, representing a blood test for vitamin D, the Kansas City Orthopaedic Institute in Leawood, KS, has a negotiated rate of $77.00. This rate is significantly higher than the state average, which is $30.00. While commercial insurance contracts often result in higher prices due to administrative costs and claim processing fees, patients with high-deductible plans may find the cash price more affordable. Although the cash median and specific negotiated amounts for this facility are not listed in the current data, it is always advisable to ask the hospital directly about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can bypass the standard insurance billing cycle and reduce overall costs.
The Medicare benchmark for this service is $29.60, which serves as a reliable baseline for evaluating the facility's pricing markup. The facility's negotiated rate of $77.00 exceeds the Medicare amount by 2.6 times, reflecting the typical administrative overhead and contract dynamics inherent in commercial insurance. If a patient receives care from an out-of-network provider, they could face balance billing for the difference between the provider's full charge and the insurance allowed amount, though the No Surprises Act protects against this for emergency and non-emergency services at in-network facilities. To ensure accuracy, patients should request an itemized bill to verify that no unbundled codes or services not rendered have been included, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.