Blood test, vitamin D
Facility: Stanton County Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $234
- Cash Discount Price: $196
- vs. Medicare Baseline: 7.91x 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 791% of the Medicare baseline (a markup of 691%). 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 |
|---|---|---|
| Healthy Blue Mcaid | $207 - $278 | 699% |
| Blue Cross Blue Shield | $208 - $264 | 703% |
| Healthy Blue Mcr Adv - All Other Plans | $238 - $273 | 804% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin D at Stanton County Hospital in Johnson, KS, the cash price is $196.00, which matches the facility's median paid amount. While the hospital is a Critical Access Hospital owned by the local government, the negotiated rates for in-network payers like Healthy Blue Mcaid and Blue Cross Blue Shield range from $207 to $278, which is higher than the cash price. This pricing structure highlights a common billing dynamic where paying out-of-pocket can sometimes be more cost-effective than using insurance, especially if your plan has a high deductible or if the insurance negotiated rate exceeds the cash price. Since the facility is in-network, the No Surprises Act generally protects you from balance billing for emergency care and non-emergency services, but it is still advisable to confirm your specific plan's coverage and any applicable self-pay or prompt-pay discounts before scheduling.
When evaluating the cost of this service, it is important to compare the rates against the Medicare benchmark rather than the hospital's full chargemaster list. The Medicare amount for this procedure is $29.60, and the data indicates a 7.9% variance compared to Medicare rates. While the provided data does not include explicit state or county average figures for comparison, the facility's cash rate of $196.00 serves as a clear baseline for patients considering payment options. To ensure you are receiving a fair price, we recommend requesting an itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included. If you receive a bill that appears inflated or contains errors, you have the right to dispute it in writing to avoid unnecessary medical debt.