Blood test, vitamin D
Facility: Graham County Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $218
- Cash Discount Price: $293
- vs. Medicare Baseline: 7.36x 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 736% of the Medicare baseline (a markup of 636%). 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 |
|---|---|---|
| Medicaid / KanCare | $40 | 135% |
| UnitedHealthcare | $40 - $278 | 135% |
| Blue Cross Blue Shield | $216 | 730% |
| Medicare (plans) | $220 | 743% |
| Celtic Commercial-All Other Plans | $242 | 818% |
| Wppa (Providers Care)-All Plans | $278 | 939% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin D at Graham County Hospital in Hill City, Kansas, the cash price is $293.00, which matches the facility's median negotiated rate of $218.00 and the state average of $293.00. While the facility is a Critical Access Hospital with government ownership, patients should note that commercial insurance rates often exceed cash prices due to administrative overhead and contract structures. In this specific case, the cash price is identical to the gross charge, meaning there is no discount available for self-pay compared to the list price, though the negotiated rate remains lower than the gross amount.
The Medicare benchmark for this service is $29.60, which serves as the objective baseline for evaluating pricing markups. Commercial rates for this test are significantly higher than the Medicare amount, reflecting the standard pricing dynamics in the healthcare system. For patients with high-deductible plans, paying the cash price of $293.00 upfront may be more cost-effective than relying on insurance, especially if the negotiated rate exceeds the cash price or if the patient has not yet met their deductible. We recommend contacting the hospital directly to confirm if any prompt-pay discounts are available for immediate settlement, as these can reduce the final bill by 20% to 50%.