Blood test, vitamin D
Facility: Girard Medical Center
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $130
- Cash Discount Price: $222
- vs. Medicare Baseline: 4.39x 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 439% of the Medicare baseline (a markup of 339%). 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 |
|---|---|---|
| Kansas Superior Select-All Plans | $130 | 439% |
| UnitedHealthcare | $130 - $352 | 439% |
| Ambetter / Centene | $130 | 439% |
| Humana | $130 | 439% |
| Aetna | $130 - $648 | 439% |
| Blue Cross Blue Shield | $130 - $218 | 439% |
| Medicare (plans) | $130 | 439% |
| Multiplan-All Plans | $342 | 1155% |
| Uhhis-All Plans | $352 | 1189% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Girard Medical Center in Girard, KS, the facility's cash median price of $222.00 is notably higher than the state average of $154.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients with high-deductible plans may find that paying the cash price directly is more cost-effective than using insurance, as the negotiated rates for in-network payers like UnitedHealthcare and Aetna range from $130 to $648. It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract dynamics, so verifying the specific allowed amount with your insurer before scheduling is essential to avoid unexpected costs.
When reviewing your bill, be aware that summary invoices often obscure individual charges, making an itemized audit necessary to identify errors or unbundled codes. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to request a full, line-by-line statement before paying. Additionally, since the facility offers a cash median of $222.00, you should inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final amount by 20% to 50% if paid upfront. Always dispute any discrepancies in writing to ensure accuracy, as over 80% of hospital bills contain errors that can be corrected through a formal audit.