Blood test, vitamin D
Facility: Cloud County Health Center
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $276
- Cash Discount Price: $204
- vs. Medicare Baseline: 9.32x 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 932% of the Medicare baseline (a markup of 832%). 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 | $262 - $271 | 885% |
| Pponext-All Plans | $276 | 932% |
| Health Partners - All Plans | $276 | 932% |
| Mpi-All Plans | $276 | 932% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Cloud County Health Center in Concordia, KS, the facility's cash median price of $204.00 is notably lower than the typical negotiated rates paid by insurance carriers, which average $276.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rate often exceeds the cash amount. It is important to note that the facility's cash rate is also lower than the Medicare benchmark of $29.60 for this service, which serves as the federal baseline for evaluating fair pricing; however, commercial contracts frequently result in higher out-of-pocket costs for members who have not yet met their deductible.
The data indicates that four payers negotiate rates between $262 and $276 for this procedure, with Aetna offering a range of $262 to $271 across two plans. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it does not guarantee the lowest possible price. To minimize costs, individuals should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill. Additionally, since over 80% of hospital bills contain errors, consumers are encouraged to request a full itemized statement to verify that all charges are accurate and that no services were unbundled or double-billed.