Blood test, vitamin D
Facility: Kiowa County Memorial Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $282
- Cash Discount Price: $254
- vs. Medicare Baseline: 9.53x 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 953% of the Medicare baseline (a markup of 853%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $218 - $445 | 736% |
| UnitedHealthcare | $234 - $434 | 791% |
| Health Partners Of Ks-All Plans | $257 - $269 | 868% |
| Medica Prime Mcare Cost-All Plans | $260 - $445 | 878% |
| Aetna | $260 - $445 | 878% |
| Celtic Comml Exchange-All Other Plans | $260 - $445 | 878% |
| Humana | $260 - $445 | 878% |
| Medicaid / KanCare | $292 - $306 | 986% |
| Providrs Care/Wppa-All Plans | $438 - $459 | 1480% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin D at Kiowa County Memorial Hospital, the facility's cash price of $254 is lower than the median negotiated rates paid by most major insurers, which range from $260 to $459 depending on the plan. While the gross chargemaster is $299, patients with high-deductible plans might find paying the cash price directly more affordable than having insurance cover the higher negotiated amount, which includes administrative costs and claim processing fees. It is important to note that while the facility is a government-owned Critical Access Hospital in Greensburg, KS, and serves Medicaid/KanCare members at a rate of $292, commercial payers like Blue Cross Blue Shield and UnitedHealthcare have negotiated rates that exceed the cash price, meaning self-pay or prompt-pay discounts could result in significant savings.
To ensure you are not overcharged, always request an itemized bill before paying, as summary invoices often hide unbundled codes or services not rendered, which can inflate the total cost. If you receive a balance bill for out-of-network ancillary services, remember that the No Surprises Act generally protects you from paying the difference between the provider's full rate and your insurance allowed amount for emergency or non-emergency care at in-network facilities. Furthermore, since Medicare rates for this service are only $29.60, any commercial rate significantly higher than this benchmark reflects a markup; comparing your final bill to the Medicare amount rather than the hospital's list price provides a clearer picture of fair pricing and helps identify potential billing errors that could be disputed in writing.