Blood test, vitamin D
Facility: Grisell Memorial Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $292
- Cash Discount Price: $482
- vs. Medicare Baseline: 9.86x 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 986% of the Medicare baseline (a markup of 886%). 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 |
|---|---|---|
| UnitedHealthcare | $150 - $378 | 507% |
| Blue Cross Blue Shield | $205 | 693% |
| Humana | $508 | 1716% |
| Medicaid / KanCare | $508 | 1716% |
Consumer Guidance & Cost Commentary
For CPT code 82306, a blood test for vitamin D at Grisell Memorial Hospital in Ransom, Kansas, the facility's cash median price is $482.00, which is slightly lower than the state average of $482.00. While the hospital's negotiated rates with major payers like UnitedHealthcare and Blue Cross Blue Shield range from $150 to $508, patients should be aware that cash payments can sometimes be more cost-effective. If you have a high-deductible plan where your insurance allowed amount exceeds the cash price, paying out-of-pocket directly may result in lower out-of-pocket costs. To maximize savings, it is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final bill.
This service is billed under a CPT code for laboratory testing, and the facility's Medicare benchmark rate is $29.60. The data indicates that the facility's cash price is significantly higher than the Medicare amount, reflecting the standard markup for commercial services. However, the median amount paid by insurers is $443.00, which is higher than the cash price, suggesting that paying cash upfront could save you money compared to using insurance for this specific test. Given that the facility is a Critical Access Hospital owned by a Government Hospital District, patients should verify their specific plan details and request an itemized bill to ensure no unexpected charges are included. Always confirm whether the service is covered under your plan and check for any applicable discounts before scheduling.