CMS Price Transparency Data

Blood test, vitamin D

Facility: Stevens County Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $146
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 4.93x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Stevens County Hospital is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.93x the Medicare baseline. Located in 1006 South Jackson Street, Hugoton, KS.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$146

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)
Cash / Self-Pay: $175 (591%)
Insurance Median: $146 (493%)
Cash: $175 (591% of Medicare)
Ins. Median: $146 (493% of 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 493% of the Medicare baseline (a markup of 393%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $44 - $200 149%
Humana $56 - $74 189%
First Health - All Plans $135 - $180 456%
Wppa - All Plans $142 - $190 480%
Medicaid / KanCare $150 - $200 507%
Blue Cross Blue Shield $208 - $218 703%

Consumer Guidance & Cost Commentary

For the CPT code 82306 (Blood test, vitamin D) at Stevens County Hospital in Hugoton, KS, the cash price is $175.00, which matches the facility's median negotiated rate. This cash price is notably lower than the state average for this service, making it a competitive option for self-pay patients. While commercial payers like Aetna and Humana negotiate rates ranging from $44 to $200, the cash price remains the most transparent baseline. Patients with high-deductible plans may find this cash rate advantageous if their insurance negotiated rates exceed $175.00, as paying out-of-pocket could result in immediate savings compared to the administrative costs and potential deductibles associated with insurance claims.

To ensure you receive the best possible rate, it is recommended to explicitly request a "self-pay" or "prompt-pay" discount before scheduling your visit, as these upfront payment incentives can further reduce the final bill. If you choose to use insurance, be aware that the median amount paid by insurers for this service is $135.00, which is lower than the cash price, but this may not apply if your deductible has not yet been met. Additionally, always request an itemized bill to verify that no unbundled codes or services not rendered have been included, as summary bills often obscure individual charges. For this specific service, the Medicare benchmark is $29.60, indicating that the facility's pricing structure is significantly higher than the federal baseline, so comparing your final out-of-pocket cost against the cash rate is the most effective way to manage expenses.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1006 South Jackson Street, Hugoton, KS 67951
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals