Blood test, vitamin D
Facility: Lane County Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $274
- Cash Discount Price: $277
- vs. Medicare Baseline: 9.26x 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 926% of the Medicare baseline (a markup of 826%). 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 |
|---|---|---|
| Aetna | $230 - $283 | 777% |
| UnitedHealthcare | $230 - $298 | 777% |
| Healthy Blue Mcr Adv - All Other Plans | $255 - $298 | 861% |
| Healthy Blue Mcaid | $255 - $298 | 861% |
| Medicaid / KanCare | $255 - $328 | 861% |
| Wppa Providers-All Plans | $382 - $447 | 1291% |
Consumer Guidance & Cost Commentary
For the CPT code 82306, representing a blood test for vitamin D, Lane County Hospital in Dighton, Kansas, lists a gross charge of $277.00. This amount aligns with the facility's cash median and is significantly lower than the state average, which is 9.3% higher. While commercial payers like Aetna and UnitedHealthcare have negotiated rates ranging from $230 to $298, the cash price remains competitive. It is important to note that for patients with high-deductible plans, paying the cash price of $277.00 upfront can sometimes be more cost-effective than relying on insurance, as the negotiated rates may exceed the cash amount. Additionally, patients should verify if the hospital offers self-pay or prompt-pay discounts, which can further reduce the final bill.
The Medicare benchmark for this service is $29.60, providing a clear baseline for evaluating the facility's pricing structure. Although the commercial negotiated rates are higher than the Medicare rate, they fall within the typical range of 200% to 300% of the federal reimbursement. To ensure you are receiving the most accurate pricing, request an itemized billing audit rather than accepting a summary bill, as detailed statements can reveal unbundled codes or services not rendered. Furthermore, if you have out-of-network services on your bill, the No Surprises Act may protect you from balance billing, so it is advisable to dispute any unexpected charges with your insurer before making a payment.