Blood test, vitamin D
Facility: Republic County Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $523
- Cash Discount Price: $426
- vs. Medicare Baseline: 17.67x 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 1767% of the Medicare baseline (a markup of 1667%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $483 | 1632% |
| Meritain-All Plans | $511 | 1726% |
| Aetna | $511 | 1726% |
| UnitedHealthcare | $523 | 1767% |
| Midlands Choice-All Plans | $540 | 1824% |
| Cigna | $540 | 1824% |
| First Health-All Plans | $540 | 1824% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Republic County Hospital in Belleville, KS, the facility's cash median price is $426.00, which is lower than the state average of $511.00. While the facility's negotiated rates with major payers like Aetna, Cigna, and UnitedHealthcare range from $511 to $540, these amounts are higher than the cash price. For patients with high-deductible plans or those without insurance, paying the cash price of $426.00 upfront may be more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if the deductible has not been met. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these programs can further reduce the final bill.
This service is provided by a Critical Access Hospital, a facility type often subject to specific federal pricing regulations. The facility's cash rate of $426.00 is significantly lower than the Medicare benchmark of $29.60 for this procedure, indicating that the commercial cash price is well above the federal baseline. However, it is important to note that commercial negotiated rates often exceed Medicare benchmarks due to administrative costs and contract structures. If a patient receives an itemized bill that includes charges for services not rendered or unbundled codes, they should request a formal written audit dispute to ensure accuracy. Always verify the specific allowed amount with your insurer before visiting, as the negotiated rate varies by carrier and plan.