Blood test, vitamin D
Facility: Stafford County Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $302
- Cash Discount Price: $318
- vs. Medicare Baseline: 10.20x 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 1020% of the Medicare baseline (a markup of 920%). 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 |
|---|---|---|
| UnitedHealthcare | $92 - $96 | 311% |
| Va Ccn-All Plans | $92 - $96 | 311% |
| Health Partners-All Plans | $296 - $308 | 1000% |
| Medica Mcr- All Plans | $312 - $324 | 1054% |
| Humana | $312 - $324 | 1054% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Stafford County Hospital, the cash median price is $318.00, which matches the facility's gross charge. This cash rate is significantly lower than the negotiated rates paid by major payers like Health Partners-All Plans ($296–$308) and Medica Mcr- All Plans ($312–$324), illustrating that self-pay patients may save money by paying directly rather than relying on insurance. While the facility's negotiated average of $302.00 is slightly below the cash price, patients with high-deductible plans should verify their specific plan's deductible status before scheduling, as paying the full negotiated rate upfront could be more expensive than the cash option. Additionally, patients should explicitly request "self-pay" or "prompt-pay" discounts at the time of registration to bypass administrative fees and potential balance billing, ensuring they receive the most favorable rate available.
The facility's pricing is evaluated against federal benchmarks, where the Medicare amount for this service is $29.60. The cash price of $318.00 represents a 10.2% markup over the Medicare rate, which falls within the typical range for commercial pricing structures that often average 200% to 300% of Medicare. It is important to note that comparing these rates to the hospital's gross chargemaster can be misleading, as commercial contracts are designed to protect in-network members from the full list price. Since this is a Critical Access Hospital in Stafford, KS, with government-local ownership, patients should review their itemized bill to ensure no unbundled codes