Blood test, vitamin D
Facility: Smith County Memorial Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $257
- Cash Discount Price: $303
- vs. Medicare Baseline: 8.68x 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 868% of the Medicare baseline (a markup of 768%). 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 |
|---|---|---|
| Medicaid / KanCare | $190 - $335 | 642% |
| Blue Cross Blue Shield | $216 | 730% |
| Multiplan-All Plans | $244 - $302 | 824% |
| Wppa-All Plans | $255 - $315 | 861% |
| UnitedHealthcare | $257 - $319 | 868% |
| Midlands Choice-All Plans | $257 - $319 | 868% |
| Health Partners Of Ks Ppo-All Plans | $257 - $319 | 868% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Smith County Memorial Hospital in Smith Center, KS, the cash median price is $303.00, which matches the facility's gross charge. This cash rate is 8.7% higher than the Medicare benchmark of $29.60. While commercial insurance plans like Medicaid/KanCare, Blue Cross Blue Shield, and UnitedHealthcare negotiate rates ranging from $190 to $335, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it financially beneficial to pay the cash price directly, as the $303.00 rate is lower than the negotiated ceilings for many payers. To maximize savings, it is recommended to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final amount owed.
The facility is a Critical Access Hospital owned by the local government, and while specific state or county average pricing data was not provided in this report, the Medicare benchmark serves as a critical baseline for evaluating the facility's pricing structure. Because commercial insurance rates include administrative overhead and contract dynamics, they frequently result in higher out-of-pocket costs compared to cash payments. If you are scheduled for this service, you should request an itemized bill before payment to ensure accuracy and avoid balance billing, particularly if you have out-of-network ancillary services. Always verify your deductible status and ask for a waiver of insurance submission if you intend to pay cash upfront to secure the lowest possible rate.