Blood test, vitamin D
Facility: Nemaha Valley Community Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $54
- Cash Discount Price: $134
- vs. Medicare Baseline: 1.82x 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.
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 |
|---|---|---|
| Va Ccn - All Plans | $9 - $79 | 30% |
| Aetna | $13 - $227 | 44% |
| Humana | $13 - $117 | 44% |
| Celtic Comm Exch - All Plans | $15 - $129 | 51% |
| Partners Direct Health - All Plans | $16 - $139 | 54% |
| Multiplan - All Plans | $27 - $240 | 91% |
| Midlands Choice - All Plans | $28 - $254 | 95% |
| Health Partners - All Plans | $28 - $254 | 95% |
Consumer Guidance & Cost Commentary
For this vitamin D blood test at Nemaha Valley Community Hospital in Seneca, KS, the facility's cash price of $134 is significantly lower than the average commercial negotiated rates, which range from $54 to $254 depending on the insurance plan. While the hospital's cash rate is higher than the state average of $123, it remains well below the gross charge of $149 and the highest negotiated rates seen for this service. Patients with high-deductible plans may find this cash price advantageous, as it avoids the administrative overhead and potential markups often embedded in commercial contracts. To maximize savings, we recommend asking the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final amount owed.
The facility's pricing is also notable when compared to the Medicare benchmark of $29.60, which serves as a federal cost baseline for this procedure. The commercial negotiated rates for various payers, such as Aetna and Humana, average roughly 2.5 times the Medicare rate, reflecting the complex administrative costs and contract dynamics of commercial insurance. However, the cash price of $134 is still lower than the gross charge and aligns closely with the median paid amount of $123, suggesting that paying out-of-pocket may result in a more predictable and potentially lower cost than relying on insurance reimbursement. Always verify your specific plan's deductible status and request an itemized bill to ensure no unexpected charges are included.