CMS Price Transparency Data

Blood test, vitamin D

Facility: Mercy Hospital Columbus

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $240
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 8.11x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercy Hospital Columbus is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 8.11x the Medicare baseline. Located in 220 N Pennsylvania Avenue, Columbus, KS.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$240

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: $214 (723%)
Insurance Median: $240 (811%)
Cash: $214 (723% of Medicare)
Ins. Median: $240 (811% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 811% of the Medicare baseline (a markup of 711%). 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.

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
Centivo Contracted [320505] $3 10%
Medicaid / KanCare $26 - $239 88%
Humana $26 - $313 88%
Blue Cross Blue Shield $27 - $285 91%
UnitedHealthcare $27 - $273 91%
Medicare (plans) $29 - $248 98%
Health Systems Inc Contracted [320174] $141 476%
Insurance System Inc Contracted [320465] $141 476%
Administrative Payor Contracted [320005] $148 500%
Indian Health Service Contracted [320198] $239 807%
Cigna $239 807%
Dept Of Veteran Affairs Contracted [320106] $239 807%
Provider Partners Health Plans Contracted [320450] $239 807%
Cherokee Nation Health Serv Contracted [320066] $239 807%
Medical Associates Health Contracted [320444] $239 807%
Novasys Contracted [320285] $239 807%
Kindful Hospice Contracted [320434] $239 807%
Qual Choice Contracted [320325] $239 807%
Mercy Mgd Behavioral Health Contracted [320259] $239 807%
Ambetter / Centene $239 807%
Halo Hcr Inc Hospice [20432] $239 807%
Home State Health Plan Contracted [320187] $239 807%
Halo Hcr Inc Hospice Contracted [320432] $239 807%
Globalhealth Contracted [320145] $239 807%
Aetna $239 - $296 807%
Cross Timbers Hospice [20098] $239 807%
Pace Of The Ozarks Contracted [320518] $239 807%
Centurion Of Missouri [20459] $239 807%
Mercy Hospice Okc [20252] $239 807%
Kindful Hospice [20434] $239 807%
Elara Caring Aspire Hospice [20433] $239 807%
Tricare $240 811%
Healthscope Contracted [320182] $254 858%
Workers Comp [20426] $263 - $280 889%
United Medical Resources Contracted [320454] $273 - $313 922%
Medica Contracted [320239] $295 997%
Usa Managed Care Org Contracted [320429] $296 1000%
Mercy Benefit Admin Contracted [320251] $296 - $313 1000%
Healthlink Contracted [320179] $296 - $313 1000%
Federal Medical Center Contracted [320127] $296 1000%
First Health Contracted [320128] $296 1000%
American Healthcare Alliance Contracted [320020] $296 1000%
Preferred Health Plan Contracted [320522] $296 1000%
Auxiant Contracted [320462] $313 1057%
Point C Contracted [320238] $313 1057%
Private Health Care Systems Contracted [320320] $313 1057%
Benefit Management Contracted [320052] $313 1057%
Imagine 360 Contracted [320494] $313 1057%
90 Degree Benefits Contracted [320436] $313 1057%
Ebms Contracted [320493] $313 1057%
Edison Health Solutions Contracted [320502] $313 1057%
Yuzu Health Contracted [320521] $313 1057%
Reflect Health Contracted [320492] $313 1057%
Ppo Plus Contracted [320310] $313 1057%
Aither Health Contracted [320449] $313 1057%
Show-Me Health Administrators Contracted [320483] $313 1057%

Consumer Guidance & Cost Commentary

For this blood test for vitamin D at Mercy Hospital Columbus, the cash price of $214.00 is notably higher than the state average for Kansas, which sits at $153.00. While commercial insurance plans typically negotiate rates that are significantly higher than cash prices—ranging from $239 to $313 depending on the carrier—the cash rate remains the most affordable option for patients without insurance or those with high-deductible plans. Because commercial negotiated rates often exceed the cash price by a wide margin, paying out-of-pocket can result in substantial savings compared to what an insurance plan would allow. Patients should verify their specific plan's allowed amount before scheduling, as some policies may still result in higher out-of-pocket costs than the direct cash price.

To ensure you are receiving the best possible rate, it is crucial to request an itemized bill before finalizing payment, as summary bills often obscure individual charges and potential errors. If you choose to pay with insurance, ask explicitly about "prompt-pay" discounts, which can reduce the final balance by 20% to 50% if settled upfront, effectively bypassing the administrative costs associated with insurance claims. Additionally, be aware that while the No Surprises Act protects you from balance billing for emergency services at in-network facilities, it is important to confirm that all ancillary services, such as laboratory tests, are covered under your plan's network agreements to avoid unexpected secondary charges.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 220 N Pennsylvania Avenue, Columbus, KS 66725
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals