Blood test, vitamin D
Facility: Scott County Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $323
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 10.91x 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 1091% of the Medicare baseline (a markup of 991%). 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 | $25 - $341 | 84% |
| Humana | $151 | 510% |
| Wppa | $215 - $1,200 | 726% |
| Blue Cross Blue Shield | $218 | 736% |
| Aetna | $323 | 1091% |
Consumer Guidance & Cost Commentary
For this vitamin D blood test at Scott County Hospital in Scott City, KS, the facility's negotiated rates range from $151 to $1,200 depending on your specific insurance plan, with UnitedHealthcare, Humana, and WPPA showing the widest variation. While the facility is a Critical Access Hospital owned by a voluntary non-profit, the negotiated rates for this service are significantly higher than the Medicare benchmark of $29.60, reflecting the standard administrative and contract structures that inflate commercial pricing. It is important to note that while in-network coverage prevents balance billing, it does not guarantee the lowest possible price, as some commercial rates can exceed the cash price, making self-pay options potentially more cost-effective for patients with high deductibles.
To maximize savings, patients should verify their specific plan's allowed amount before scheduling, as rates vary across the five payers listed. If you choose to pay out-of-pocket, ask the billing department about "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if settled upfront, bypassing the administrative overhead associated with insurance claims. Additionally, since over 80% of hospital bills contain errors, request a full itemized statement to review every code and ensure no services were double-billed or unbundled, rather than accepting a summary invoice. Always confirm your deductible status prior to treatment, as paying the negotiated rate without meeting your deductible can result in higher out-of-pocket expenses than expected.