Blood test, vitamin D
Facility: Ellsworth County Medical Center
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $244
- Cash Discount Price: $271
- vs. Medicare Baseline: 8.24x 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 824% of the Medicare baseline (a markup of 724%). 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 |
|---|---|---|
| Healthy Blue Mcr Adv | $127 | 429% |
| Triwest -All Plans | $127 | 429% |
| Va Ccn-All Plans | $127 | 429% |
| Humana | $127 - $257 | 429% |
| UnitedHealthcare | $176 - $271 | 595% |
| Blue Cross Blue Shield | $205 - $216 | 693% |
| First Health - All Plans | $244 | 824% |
| Aetna | $244 | 824% |
| Cigna | $257 | 868% |
| Medicaid / KanCare | $271 | 916% |
| Healthy Blue Mcaid- All Other Plans | $271 | 916% |
| Coventry Mcaid-All Plans | $271 | 916% |
| Providers Care-Wppa-All Plans | $406 | 1372% |
Consumer Guidance & Cost Commentary
For CPT code 82306, a blood test for vitamin D, the cash price at Ellsworth County Medical Center is $271.00, which matches the facility's negotiated rate with Medicaid and the gross chargemaster. This cash price is significantly lower than the average negotiated rates paid by major commercial insurers, such as UnitedHealthcare ($271.00) and Humana ($257.00), and notably lower than the state average for this service. While the facility's cash rate aligns with the Medicare benchmark of $29.60 when adjusted for the specific pricing context, the actual cash price of $271.00 represents a substantial markup over the federal baseline. For patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $271.00 upfront may be more cost-effective than relying on insurance, which could result in higher allowed amounts or deductibles that exceed the cash rate.
Patients should verify if the facility offers additional "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected ancillary charges or errors in itemized billing can still occur. If a patient receives a summary bill, they should request a full itemized statement to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit. By comparing the facility's rates directly to the Medicare benchmark and seeking prompt-pay options