Blood test, vitamin D
Facility: Community Memorial Healthcare, Inc.
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $209
- Cash Discount Price: $348
- vs. Medicare Baseline: 7.06x 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 706% of the Medicare baseline (a markup of 606%). 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 | $160 - $261 | 541% |
| UnitedHealthcare | $199 | 672% |
| Blue Cross Blue Shield | $218 | 736% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Community Memorial Healthcare, Inc., the cash price is $348.00, which matches the facility's median negotiated rate of $348.00. This cash price is significantly higher than the state of Kansas average, where the median negotiated rate for this service is $209.00. While the facility's cash rate exceeds the state average, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance negotiated rate exceeds the cash price. In this case, the cash price is equal to the highest negotiated rate observed among payers, meaning there is no financial advantage to using insurance for this specific service unless the patient's specific plan negotiates a rate lower than $348.00.
The facility's billing practices align with standard industry benchmarks, as the cash price is 7.1% higher than the Medicare amount of $29.60. However, it is important to note that the Medicare amount represents a federal baseline and does not reflect the actual cost of care; commercial rates often include administrative overhead that Medicare does not. To minimize costs, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, since the facility is an in-network Critical Access Hospital, patients should be aware of the No Surprises Act protections, which prevent balance billing for out-of-network services at in-network facilities, though this specific code appears to be billed at a flat cash rate rather than through a complex insurance claim process.