Blood test, vitamin D
Facility: Amberwell Atchison Association
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $160
- Cash Discount Price: $290
- vs. Medicare Baseline: 5.41x 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 541% of the Medicare baseline (a markup of 441%). 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 | $54 - $520 | 182% |
| Va Ccn - All Plans | $96 | 324% |
| Humana | $96 - $130 | 324% |
| Triwest - All Plans | $96 | 324% |
| Superior Select Mcr Adv - All Plans | $96 | 324% |
| Ambetter / Centene | $148 | 500% |
| Aetna | $160 | 541% |
| Cigna | $160 | 541% |
| Blue Cross Blue Shield | $208 - $218 | 703% |
| Oscar - All Plans | $218 | 736% |
| Centrus Health Direct - All Plans | $218 | 736% |
| Multiplan - All Plans | $226 | 764% |
| Wppa Providrs Care - All Plans | $261 | 882% |
Consumer Guidance & Cost Commentary
For the blood test for vitamin D (CPT 82306) at Amberwell Atchison Association, the cash price is $290.00, which matches the facility's cash median. This rate is significantly higher than the state of Kansas average, which is $29.60 based on Medicare benchmarks. While commercial insurance plans like UnitedHealthcare and Humana negotiate rates ranging from $54 to $226, these negotiated amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the full cash price of $290.00 upfront can be more cost-effective than relying on insurance, which may result in higher out-of-pocket costs due to deductibles, copays, or administrative fees embedded in the negotiated rate.
Patients should verify their specific plan details before scheduling, as some insurers may not cover this service or may apply a higher allowed amount than the cash rate. If you choose to use insurance, be aware that the facility may submit a claim to your provider, which could void any self-pay or prompt-pay discounts. To secure the best possible rate, contact the hospital directly to confirm if they offer a "self-pay" or "prompt-pay" discount for upfront payment. Additionally, if you receive a bill from an out-of-network provider or encounter unexpected charges, you have the right to request an itemized audit to identify errors or double-billing, and you may be protected under the No Surprises Act from balance billing for certain services.