Blood test, vitamin D
Facility: Mercy Specialty Hospital Southeast Kansas
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $69
- Cash Discount Price: $232
- vs. Medicare Baseline: 2.33x 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 233% of the Medicare baseline (a markup of 133%). 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 |
|---|---|---|
| United Medical Resources Contracted [320454] | $24 - $81 | 81% |
| UnitedHealthcare | $24 - $330 | 81% |
| Blue Cross Blue Shield | $25 - $156 | 84% |
| Medicaid / KanCare | $25 - $42 | 84% |
| Humana | $26 - $30 | 88% |
| First Health Contracted [320128] | $26 | 88% |
| Aetna | $26 - $30 | 88% |
| Medica Contracted [320239] | $28 | 95% |
| Cross Timbers Hospice [20098] | $30 | 101% |
| Halo Hcr Inc Hospice Contracted [320432] | $30 | 101% |
| Cherokee Nation Health Serv Contracted [320066] | $30 | 101% |
| Medical Associates Health Contracted [320444] | $30 | 101% |
| Medicare (plans) | $30 | 101% |
| Tricare | $30 | 101% |
| Elara Caring Aspire Hospice [20433] | $30 | 101% |
| Pace Of The Ozarks Contracted [320518] | $30 | 101% |
| Kindful Hospice Contracted [320434] | $30 | 101% |
| Mercy Hospice Okc [20252] | $30 | 101% |
| Qual Choice Contracted [320325] | $30 | 101% |
| Kindful Hospice [20434] | $30 | 101% |
| Globalhealth Contracted [320145] | $30 | 101% |
| Mercy Mgd Behavioral Health Contracted [320259] | $30 | 101% |
| Cigna | $30 - $169 | 101% |
| Halo Hcr Inc Hospice [20432] | $30 | 101% |
| Dept Of Veteran Affairs Contracted [320106] | $30 | 101% |
| Provider Partners Health Plans Contracted [320450] | $32 | 108% |
| Centivo Contracted [320505] | $49 | 166% |
| Providrs Care Network Contracted [320484] | $56 | 189% |
| Insurance System Inc Contracted [320465] | $81 | 274% |
| Health Systems Inc Contracted [320174] | $81 | 274% |
| Benefit Management Contracted [320052] | $81 | 274% |
| Healthscope Contracted [320182] | $81 - $268 | 274% |
| Point C Contracted [320238] | $81 - $268 | 274% |
| Show-Me Health Administrators Contracted [320483] | $182 | 615% |
| Mercy Benefit Admin Contracted [320251] | $182 - $250 | 615% |
| Edison Health Solutions Contracted [320502] | $250 | 845% |
| Ebms Contracted [320493] | $250 | 845% |
| Imagine 360 Contracted [320494] | $250 | 845% |
| Reflect Health Contracted [320492] | $250 | 845% |
| American Healthcare Alliance Contracted [320020] | $250 | 845% |
| Auxiant Contracted [320462] | $250 - $268 | 845% |
| Yuzu Health Contracted [320521] | $250 | 845% |
| Aither Health Contracted [320449] | $250 | 845% |
| Federal Medical Center Contracted [320127] | $268 | 905% |
| Preferred Health Plan Contracted [320522] | $268 | 905% |
| Healthlink Contracted [320179] | $268 | 905% |
| Compcare Of The Ozarks Contracted [320437] | $282 | 953% |
| Workers Comp [20426] | $286 | 966% |
| Private Health Care Systems Contracted [320320] | $330 | 1115% |
| Multiplan Contracted [320270] | $339 | 1145% |
| Multiplan [20270] | $339 | 1145% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin D, the facility's cash price of $232 is lower than the gross charge of $357, but it remains higher than the Medicare benchmark of $29.60, which serves as the objective baseline for fair pricing. While many commercial payers have negotiated rates ranging from $24 to $330, the cash rate may actually be the most cost-effective option for patients with high-deductible plans, as the insurance allowed amounts often exceed the cash price. To ensure you are not overpaying, it is advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if settled upfront.
Although specific county or state average data was not provided in this report, the wide variation in negotiated rates—from as low as $24 to as high as $339—highlights the importance of verifying your specific plan's allowed amount before scheduling. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, unexpected ancillary services like lab tests can sometimes trigger separate billing if the provider is out-of-network. If you receive a bill, always request a full itemized statement to review the specific CPT codes and ensure no unbundled charges or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.