Blood test, vitamin D
Facility: Trego County Lemke Memorial Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $91
- Cash Discount Price: $163
- vs. Medicare Baseline: 3.07x 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 307% of the Medicare baseline (a markup of 207%). 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 |
|---|---|---|
| Va Ccn - All Plans | $22 - $91 | 74% |
| Humana | $37 - $151 | 125% |
| Tricare | $40 - $163 | 135% |
| Aetna | $47 - $278 | 159% |
| UnitedHealthcare | $47 - $308 | 159% |
| Medicaid / KanCare | $47 - $308 | 159% |
| Ambetter / Centene | $52 - $210 | 176% |
| Health Partners - All Plans | $72 - $293 | 243% |
| Healthy Blue Mcaid - All Plans | $76 - $308 | 257% |
| Blue Cross Blue Shield | $299 | 1010% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin D at Trego County Lemke Memorial Hospital, the cash price is $163.00, which is lower than the facility's negotiated rates with most major payers. While the hospital's cash rate is higher than the state average for this service, it remains below the negotiated amounts charged to insurance members, such as the $299 fixed rate from Blue Cross Blue Shield or the $308 maximum for UnitedHealthcare. Because commercial insurance contracts often include administrative overhead and multi-layered billing structures, the cash price can sometimes be the most affordable option for patients with high-deductible plans or those who have not yet met their out-of-pocket limits.
Patients should verify their specific plan details before scheduling, as the facility offers a cash median of $163.00, which is significantly lower than the $74.00 median paid by some insurers due to the specific contract terms of those plans. To ensure you are not overpaying, we recommend requesting a prompt-pay discount or self-pay rate directly from the hospital's billing department prior to your visit, as these upfront discounts can further reduce the cost. Additionally, if you receive a bill from an out-of-network provider at this facility, you may be eligible for protections under the No Surprises Act, which prevents balance billing for emergency and non-emergency services, so do not hesitate to dispute any unexpected charges with your insurer.