Blood test, vitamin D
Facility: Great Plains Of Sabetha
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $87
- Cash Discount Price: $92
- vs. Medicare Baseline: 2.94x 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 294% of the Medicare baseline (a markup of 194%). 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 |
|---|---|---|
| Aetna | $48 - $93 | 162% |
| Celtic Mcr Adv | $48 | 162% |
| Celtic Comm Exchange-All Other Plans | $60 | 203% |
| Great West Healthcare-All Plans | $78 | 264% |
| UnitedHealthcare | $85 - $92 | 287% |
| Multiplan-Phcs-All Plans | $87 | 294% |
| Century/Wppa/Providers-All Plans | $87 | 294% |
| Humana | $87 | 294% |
| Cigna | $87 | 294% |
| Federated Mutual Ins-All Plans | $88 | 297% |
| Blue Cross Blue Shield | $92 | 311% |
| Medicaid / KanCare | $92 | 311% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Great Plains Of Sabetha, the facility's cash price of $92.00 is identical to its Medicare benchmark of $29.60, resulting in a markup of 2.9 times the Medicare rate. While the facility is a Critical Access Hospital in Sabetha, KS, this specific code does not provide a direct comparison to state or county averages in the available data. However, it is important to note that commercial negotiated rates for this service range from $48 to $93 across 12 different payers, with the median negotiated amount being $87.00. This indicates that for many insured patients, the negotiated rate may actually be lower than the cash price, making insurance coverage potentially more cost-effective depending on their specific plan deductible status.
Patients should be aware that while the facility's cash price matches the Medicare benchmark, the actual amount paid by insurers varies significantly based on network agreements. The lowest negotiated rate found was $48.00 with Celtic Mcr Adv, while the highest was $92.00 with Blue Cross Blue Shield and Medicaid/KanCare. If you have a high-deductible plan, paying the cash price of $92.00 upfront might be cheaper than your insurance paying their negotiated rate of up to $92.00, especially if you have not yet met your deductible. To maximize savings, we recommend asking the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these programs often offer reductions of 20% to 50% for upfront payment. Additionally, ensure you request an