Blood test, vitamin D
Facility: Hospital District #6 Patterson Health Center
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $270
- Cash Discount Price: $228
- vs. Medicare Baseline: 9.12x 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 912% of the Medicare baseline (a markup of 812%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $205 - $216 | 693% |
| UnitedHealthcare | $248 - $295 | 838% |
| Providers Care (Wppa)-All Plans | $481 - $516 | 1625% |
Consumer Guidance & Cost Commentary
For the vitamin D blood test (CPT 82306) at the Hospital District #6 Patterson Health Center in Anthony, KS, the facility's cash median price of $228.00 is lower than the state average of $257.00, making it a potentially cost-effective option for patients paying directly. While the facility's negotiated rates with major payers like Blue Cross Blue Shield ($205–$216) and UnitedHealthcare ($248–$295) are higher than the cash price, this difference may be worthwhile for those with high-deductible plans who have not yet met their out-of-pocket limits. It is important to note that commercial rates often include administrative overhead and contract structures that can inflate the baseline price by 20% to 40% compared to direct cash payments.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, unexpected charges can still occur if ancillary services are billed separately. To ensure you are not overcharged, always request a full itemized bill before paying, as summary invoices often hide unbundled codes or services not rendered. Additionally, since the facility offers a cash median rate of $228.00, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can provide further savings by bypassing the costly insurance claims processing cycle.