Blood test, vitamin D
Facility: Phillips County Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $280
- Cash Discount Price: $274
- vs. Medicare Baseline: 9.46x 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 946% of the Medicare baseline (a markup of 846%). 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 | $218 - $296 | 736% |
| UnitedHealthcare | $224 - $365 | 757% |
| Medicaid / KanCare | $280 - $365 | 946% |
| Health Partners-All Plans | $280 - $365 | 946% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin D at Phillips County Hospital in Phillipsburg, KS, the facility's cash median price of $274.00 is lower than the state average, which sits at $296.00. While the hospital's negotiated rates with major payers like Blue Cross Blue Shield and UnitedHealthcare range from $218 to $365, these amounts are often higher than the cash price due to administrative costs and contract structures. If you have a high-deductible plan or have already met your deductible, paying the cash price directly may result in a lower out-of-pocket cost than your insurance would allow, as the negotiated rates can sometimes exceed the cash rate.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the total cost by bypassing the standard insurance billing cycle. It is also important to request a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be disputed. Finally, if you receive a surprise balance bill from an out-of-network provider, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities, allowing you to dispute the charge with your insurer.