Blood test, vitamin D
Facility: Kansas Medical Center Llc
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $30
- Cash Discount Price: $119
- 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 |
|---|---|---|
| United | $4 | 14% |
| Medicaid / KanCare | $25 | 84% |
| Indian Health | $27 | 91% |
| Medadv_Wellcare | $30 | 101% |
| Blue Cross Blue Shield | $30 - $137 | 101% |
| Humana | $30 | 101% |
| Ambetter / Centene | $30 | 101% |
| Wppa | $34 - $130 | 115% |
| Three_Rivers | $59 | 199% |
| Aetna | $85 - $93 | 287% |
Consumer Guidance & Cost Commentary
For this vitamin D blood test at Kansas Medical Center Llc in Andover, the cash price of $119.00 is significantly higher than the facility's negotiated rate of $30.00, which represents the maximum amount most insurance plans will pay. While the facility's cash rate is notably lower than the gross charge of $198.00, patients should be aware that commercial insurance rates often exceed cash prices due to administrative costs and contract structures. In this specific case, the negotiated rate of $30.00 is well below the state average for this procedure, making it a competitive option for those with in-network coverage. However, if a patient has a high deductible or out-of-pocket maximum, paying the cash price of $119.00 upfront could result in lower total costs than the insurance allowed amount, provided the patient has not yet met their deductible threshold.
To minimize out-of-pocket expenses, patients should actively request a "prompt-pay" discount or self-pay rate before scheduling the test, as these upfront payment incentives can reduce the bill by 20% to 50%. It is also important to verify that the specific insurance plan is in-network, as out-of-network care could trigger balance billing for the difference between the facility's full charge and the insurer's allowed amount, though the No Surprises Act protects many non-emergency services at in-network facilities. Finally, patients should insist on receiving a detailed, itemized bill rather than a summary statement to ensure no errors exist, as over 80% of hospital bills contain mistakes that can be corrected through a formal written dispute.