Blood test, vitamin D
Facility: Wamego Health Center
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $26
- Cash Discount Price: $114
- vs. Medicare Baseline: 0.88x 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.
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 |
|---|---|---|
| UnitedHealthcare | $25 | 84% |
| Aetna | $26 | 88% |
| Medicaid / KanCare | $26 | 88% |
| Providrs Care | $30 | 101% |
| Blue Cross Blue Shield | $243 - $257 | 821% |
Consumer Guidance & Cost Commentary
For the vitamin D blood test (CPT 82306) at Wamego Health Center in Wamego, KS, the cash median price is $114.00, which is significantly lower than the facility's negotiated rates with major payers like UnitedHealthcare ($25), Aetna ($26), and Medicaid/KanCare ($26). While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that insurance negotiated rates often exceed cash prices due to administrative costs and contract dynamics. If you have a high-deductible plan, paying the cash price of $114.00 upfront might be more cost-effective than your insurance paying its negotiated rate, especially if your deductible has not yet been met. We recommend asking the billing department specifically about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
When reviewing your bill, it is crucial to request an itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. The Medicare amount for this service is $29.60, which serves as a reliable benchmark to evaluate the facility's pricing markup; commercial rates are often higher than this federal baseline due to local wage indexes and administrative overhead. If you receive a balance bill for the difference between the provider's chargemaster and your insurance allowed amount, you may be protected under the No Surprises Act, which bans balance billing for out-of-network services at in-network facilities. Always dispute any unexpected charges in writing to ensure accuracy and avoid unnecessary debt.