Blood test, vitamin D
Facility: Wilson Medical Center
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $216
- Cash Discount Price: $167
- vs. Medicare Baseline: 7.30x 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 730% of the Medicare baseline (a markup of 630%). 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 |
|---|---|---|
| Humana | $11 - $225 | 37% |
| Aetna | $11 - $424 | 37% |
| UnitedHealthcare | $11 - $394 | 37% |
| Tricare | $11 - $225 | 37% |
| Ambetter / Centene | $11 - $424 | 37% |
| Cigna | $16 - $339 | 54% |
| Health Partners-All Plans | $18 - $390 | 61% |
| Mulitplan-All Plans | $18 - $390 | 61% |
| Blue Cross Blue Shield | $20 - $424 | 68% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Wilson Medical Center in Neodesha, KS, the facility's cash price of $167 is lower than the state average of $179. While the facility's negotiated rates with major payers like Aetna and Ambetter / Centene range up to $424, these amounts often exceed the cash price, making upfront payment a potentially more affordable option for patients with high-deductible plans. The facility, a Critical Access Hospital owned by the local government, offers a median negotiated rate of $216, which is higher than the cash median but lower than the gross charge of $222. Patients should verify if their specific plan has a deductible before scheduling, as paying the full negotiated rate may not be covered until that threshold is met.
To minimize costs, consumers should proactively request "self-pay" or "prompt-pay" discounts before check-in, as these can reduce bills by 20% to 50% by bypassing insurance claim processing fees. It is important to avoid accepting summary bills that obscure individual charges; instead, demand a full itemized statement to identify any unbundled codes or services not rendered. Additionally, while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, patients should still review their itemized bill to ensure no unexpected ancillary charges exist. Comparing the facility's cash rate to the Medicare benchmark of $29.6 reveals a significant markup, highlighting the importance of negotiating directly with the hospital for the lowest possible out-of-pocket amount.