Blood test, vitamin D
Facility: Medicine Lodge Memorial Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $281
- Cash Discount Price: $297
- vs. Medicare Baseline: 9.49x 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 949% of the Medicare baseline (a markup of 849%). 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 |
|---|---|---|
| Tricare | $230 - $245 | 777% |
| Humana | $262 - $278 | 885% |
| Aetna | $266 - $306 | 899% |
| Hpk-All Plans | $273 - $291 | 922% |
| UnitedHealthcare | $273 - $291 | 922% |
| Medicaid / KanCare | $288 - $306 | 973% |
Consumer Guidance & Cost Commentary
For this vitamin D blood test at Medicine Lodge Memorial Hospital in Medicine Lodge, KS, the cash price is $297.00, which matches the facility's median paid amount. While commercial insurance plans like Aetna and Humana have negotiated rates ranging from $262 to $306, paying cash directly can sometimes be more cost-effective for patients with high-deductible plans, as the cash price often aligns with or exceeds the insurer's allowed amount. To ensure you receive the best possible rate, it is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative fees associated with insurance claims.
The facility's pricing is benchmarked against the Medicare rate of $29.60, showing a 9.5% variance from the standard Medicare amount. Although the facility is a Critical Access Hospital owned by a Government Hospital District, the negotiated rates for in-network payers remain significantly higher than the Medicare baseline, reflecting the typical markup found in commercial contracts. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is still prudent to request a full itemized bill before paying to verify that no unbundled codes or services not rendered have been charged.