CMS Price Transparency Data

Blood test, vitamin D

Facility: Hamilton County Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $344
  • Cash Discount Price: $382
  • vs. Medicare Baseline: 11.62x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Hamilton County Hospital is $344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $382. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 11.62x the Medicare baseline. Located in 700 North Huser Street, Syracuse, KS.
Cash / Self-Pay
$382

Average discount available for prompt cash payment at this facility.

Insurance Median
$344

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: $382 (1291%)
Insurance Median: $344 (1162%)
Cash: $382 (1291% of Medicare)
Ins. Median: $344 (1162% 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 1162% of the Medicare baseline (a markup of 1062%). 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
Blue Cross Blue Shield $103 - $218 348%
First Health Coventry - All Plans $325 1098%
Cigna $363 1226%
UnitedHealthcare $363 1226%
Va Ccn - All Plans $382 1291%
Aetna $649 2193%

Consumer Guidance & Cost Commentary

For the CPT code 82306 (Blood test, vitamin D) at Hamilton County Hospital in Syracuse, KS, the cash price is $382.00, which matches the facility's median negotiated rate. This cash price is notably higher than the state average, which is $29.60 (Medicare amount). While commercial insurance plans like Blue Cross Blue Shield and Aetna have negotiated rates ranging from $103 to $649, patients with high-deductible plans may find the cash price more affordable if their insurance allowed amount exceeds $382.00. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in significant out-of-pocket costs.

To maximize savings, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. Since hospitals often charge higher rates to bypass administrative processing costs associated with insurance claims, paying directly can sometimes be cheaper than relying on insurance reimbursement. Additionally, because over 80% of hospital bills contain errors, patients should request a detailed, itemized bill before making any payment to ensure no duplicate charges or unbundled services are included. Always confirm the exact allowed amount with your insurer and the facility before finalizing any payment plan.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 North Huser Street, Syracuse, KS 67878
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals