CMS Price Transparency Data

Blood test, vitamin D

Facility: Ellinwood District Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $25
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Ellinwood District Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 0.84x the Medicare baseline. Located in 605 N Main Street, Ellinwood, KS.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)
Cash / Self-Pay: $30 (101%)
Insurance Median: $25 (84%)
Cash: $30 (101% of Medicare)
Ins. Median: $25 (84% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $24 81%
Humana $24 81%
Blue Cross Blue Shield $24 81%
Cigna $24 81%
Aetna $24 81%

Consumer Guidance & Cost Commentary

For the CPT code 82306, representing a blood test for vitamin D, Ellinwood District Hospital in Kansas lists a gross charge of $35.00. This amount aligns exactly with the median negotiated rate of $25.00 and the median paid amount of $35.00 across five major payers, including UnitedHealthcare, Humana, and Blue Cross Blue Shield. While the facility is a Critical Access Hospital owned by a government district, the cash price of $30.00 is slightly higher than the cash median, suggesting that paying out-of-pocket may not offer the lowest cost for patients with high-deductible plans. Because commercial negotiated rates often include administrative overhead and contract dynamics that push prices above cash prices, patients should verify their specific plan's deductible status before scheduling to avoid unexpected out-of-pocket expenses.

To ensure you are receiving the most accurate pricing, it is important to request an itemized bill rather than accepting a summary invoice that obscures individual charges. If you receive a bill, review it line-by-line to confirm that no unbundled codes or services not rendered have been included, as over 80% of hospital bills contain errors. Additionally, since the facility is a Critical Access Hospital, you should explicitly ask about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if settled upfront. Avoid relying on verbal assurances from billing staff; instead, request a formal written audit dispute if you identify discrepancies, ensuring you have a clear record of any corrections made to your account.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 605 N Main Street, Ellinwood, KS 67526
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals