CMS Price Transparency Data

Blood test, vitamin D

Facility: Hodgeman County Health Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $237
  • Cash Discount Price: $270
  • vs. Medicare Baseline: 8.01x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Hodgeman County Health Center is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $270. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 8.01x the Medicare baseline. Located in 809 Bramley, Jetmore, KS.
Cash / Self-Pay
$270

Average discount available for prompt cash payment at this facility.

Insurance Median
$237

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)
Cash / Self-Pay: $270 (912%)
Insurance Median: $237 (801%)
Cash: $270 (912% of Medicare)
Ins. Median: $237 (801% of 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 801% of the Medicare baseline (a markup of 701%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $208 - $218 703%
Triwest - All Plans $216 730%
UnitedHealthcare $216 - $320 730%
Medicaid / KanCare $216 - $337 730%
Humana $216 730%
Aetna $270 912%
First Health - All Plans $303 1024%
Wppa (Provdrscare) - All Plans $320 1081%
Health Partners - All Plans $320 1081%

Consumer Guidance & Cost Commentary

For the vitamin D blood test (CPT 82306) at Hodgeman County Health Center in Jetmore, Kansas, the facility's cash median price is $270.00, which aligns closely with the state average for this procedure. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and Triwest range from $208 to $218, these amounts are generally higher than the cash price, meaning patients with high-deductible plans or those without insurance might save money by paying the cash rate directly. It is important to note that Medicaid/KanCare plans have a negotiated range extending up to the gross charge of $337, and UnitedHealthcare plans can reach $320, so verifying your specific plan's negotiated rate before scheduling is essential to avoid unexpected costs.

Although the facility is a Critical Access Hospital owned by the local government, the data does not provide a specific county average for comparison against the state median. However, the facility's cash price of $270.00 is consistent with the national benchmark for this service, and the median amount paid by insurers was $253.00. If you choose to use insurance, be aware that administrative processing fees and contract dynamics often inflate the final allowed amount compared to the direct cash price. To ensure you receive the best possible rate, we recommend explicitly asking the billing department for any available self-pay or prompt-pay discounts before your visit, as these upfront incentives can significantly reduce your out-of-pocket expenses.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 809 Bramley, Jetmore, KS 67854
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals