Blood test, vitamin D
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $30
- Cash Discount Price: $217
- 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 |
|---|---|---|
| Humana | $29 | 98% |
| UnitedHealthcare | $30 - $36 | 101% |
| United Mine Workers Of America | $30 | 101% |
| Aetna | $30 - $37 | 101% |
| Providrs Care Network | $30 | 101% |
| Blue Cross Blue Shield | $30 | 101% |
| Lantern Specialty Care | $47 | 159% |
Consumer Guidance & Cost Commentary
For this vitamin D blood test at Kansas Spine & Specialty Hospital in Wichita, the cash price of $217 is significantly lower than the facility's gross charge of $333. While the facility is a physician-owned acute care hospital, the negotiated rates for in-network payers like Humana and UnitedHealthcare range from $29 to $37, which are much higher than the cash option. This pricing structure highlights a common scenario where paying out-of-pocket can be more cost-effective than using insurance, especially for patients with high deductibles who may face the full negotiated rate before their plan covers the cost. The Medicare benchmark for this service is $29.60, indicating that the cash price represents a substantial discount relative to the federal baseline, while the negotiated rates reflect the administrative costs and contract terms associated with commercial insurance.
To ensure you are receiving the most accurate and fair pricing, it is essential to request an itemized bill before finalizing payment, as summary invoices often obscure individual line items and potential errors. If you choose to use insurance, be aware that the facility's negotiated rates are set by contract and may not represent the lowest possible price available in the region; comparing these rates to the state average can reveal significant variances. Additionally, if you are paying cash, ask specifically about prompt-pay discounts, which can further reduce the $217 cash price by offering immediate liquidity incentives. Always verify your deductible status and confirm whether the facility will submit a claim to your insurer, as automatic submissions can void any cash discounts you may have negotiated.