Blood test, vitamin D
Facility: Hiawatha Community Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $226
- Cash Discount Price: $290
- vs. Medicare Baseline: 7.64x 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 764% of the Medicare baseline (a markup of 664%). 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 |
|---|---|---|
| UnitedHealthcare | $107 - $249 | 361% |
| Aetna | $107 - $234 | 361% |
| Humana | $108 | 365% |
| Ambetter / Centene | $129 | 436% |
| Blue Cross Blue Shield | $208 - $218 | 703% |
| Centrus Health Direct - All Plans | $218 | 736% |
| Oscar - All Plans | $218 | 736% |
| Preferred Hlth - All Plans | $261 | 882% |
| Wppa Providrs Care - All Plans | $276 | 932% |
| Cigna | $276 | 932% |
| Multiplan - All Plans | $281 | 949% |
| Midlands Choice - All Plans | $281 | 949% |
| Healthy Blue Mcaid - All Plans | $290 | 980% |
Consumer Guidance & Cost Commentary
For the CPT code 82306, representing a blood test for vitamin D, Hiawatha Community Hospital in Hiawatha, KS, lists a cash price of $290.00, which matches the facility's gross charge and the cash median. This cash rate is significantly higher than the state average, as indicated by the 7.6% variance versus Medicare, suggesting that paying out-of-pocket may not be the most cost-effective option for patients without insurance. While the facility offers a cash price, commercial payers negotiate rates that often exceed the cash amount due to administrative overhead and contract structures; for instance, UnitedHealthcare and Aetna have negotiated ranges starting at $107 but extending up to $249 and $234 respectively, while other carriers like Cigna and Multiplan charge the full $281. Patients should verify their specific plan's deductible status before assuming that in-network coverage will result in lower out-of-pocket costs, as high deductibles can lead to paying the full negotiated rate.
To minimize financial exposure, consumers should request an itemized bill to ensure no unbundled charges or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through formal written audits. Additionally, patients should inquire about prompt-pay discounts, which can reduce the total bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing. It is important to note that while the facility is a voluntary non-profit Critical Access Hospital, the negotiated rates vary widely across the 13 identified payers, with the lowest negotiated amount being $107 and the highest