Blood test, vitamin D
Facility: Ashland Health Center
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $303
- Cash Discount Price: $242
- vs. Medicare Baseline: 10.24x 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 1024% of the Medicare baseline (a markup of 924%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $102 | 345% |
| Compalliance-All Plans | $242 | 818% |
| Health Partners Of Kansas-All Plans | $258 | 872% |
| Multiplan-All Plans | $297 | 1003% |
| Medica Mcare - All Plans | $303 | 1024% |
| Aetna | $303 | 1024% |
| Healthy Blue Mcr Adv - All Other Plans | $303 | 1024% |
| Health Choice-All Plans | $303 | 1024% |
| Medicare (plans) | $303 | 1024% |
| UnitedHealthcare | $303 | 1024% |
| Medicaid / KanCare | $303 | 1024% |
| Providers Care (Wppa)-All Plans | $454 | 1534% |
Consumer Guidance & Cost Commentary
For CPT code 82306, a blood test for vitamin D, Ashland Health Center in Ashland, KS, charges a gross list price of $303.00. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and UnitedHealthcare are also $303.00, the cash median price is lower at $242.00. This suggests that for patients with high-deductible plans or those without insurance, paying the cash price directly could result in immediate savings compared to the standard negotiated rates. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts at the time of registration, as these upfront fee reductions can further lower the final amount owed by bypassing administrative billing cycles.
The facility's pricing structure aligns closely with the state average, as the median negotiated rate of $303.00 matches the highest negotiated rate in the dataset. However, it is important to note that Medicare, which serves as a benchmark for "true cost," reimburses only $29.60 for this service, indicating a significant markup relative to federal standards. Because the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients should be aware that if their insurance pays less than the negotiated rate, they are generally protected from being billed the difference. To ensure accuracy, patients should request an itemized bill before paying, as summary invoices may obscure unbundled charges or services not rendered.