Blood test, vitamin D
Facility: Osborne County Memorial Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $168
- Cash Discount Price: $176
- vs. Medicare Baseline: 5.68x 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 568% of the Medicare baseline (a markup of 468%). 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 |
|---|---|---|
| UnitedHealthcare | $71 - $244 | 240% |
| Health Partners Of Kansas | $80 - $276 | 270% |
| Wppa | $88 - $305 | 297% |
| Blue Cross Blue Shield | $91 - $315 | 307% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Osborne County Memorial Hospital in Osborne, KS, the facility's cash median price of $176.00 is significantly lower than the gross charge of $207.00. While the hospital is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find paying cash directly more cost-effective than using insurance, as the negotiated rates for in-network payers like UnitedHealthcare and Blue Cross Blue Shield range from $71 to $315. These negotiated amounts often exceed the cash price due to administrative overhead and contract structures, meaning the cash rate represents a potential savings for those who have not met their deductible or wish to avoid balance billing risks.
To ensure you are receiving the best possible rate, it is important to understand that commercial insurance rates are benchmarks against Medicare, which stands at $29.60 for this service. Although the facility's cash price is higher than the Medicare amount, it remains below the average negotiated rates paid by major insurers, suggesting the facility may be offering competitive self-pay pricing. Before scheduling, patients should explicitly request a "self-pay" or "prompt-pay" discount, which can further reduce the bill by bypassing insurance claims processing fees. If you receive a bill after using insurance, always demand a full itemized audit to verify that no unbundled codes or services not rendered have inflated your total, as summary bills often obscure these discrepancies.