Blood test, vitamin D
Facility: William Newton Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $130
- Cash Discount Price: $349
- 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 |
|---|---|---|
| UnitedHealthcare | $100 - $325 | 338% |
| Triwest- All Plans | $118 - $126 | 399% |
| Blue Cross Blue Shield | $121 - $208 | 409% |
| Ambetter / Centene | $121 - $361 | 409% |
| Providrs Care Nexus | $206 - $221 | 696% |
| Providrs Care - All Other Plans | $236 - $253 | 797% |
Consumer Guidance & Cost Commentary
For the CPT code 82306, representing a blood test for vitamin D, William Newton Hospital in Winfield, KS, lists a cash price of $349.00. This cash rate aligns exactly with the facility's median paid amount and is significantly higher than the national Medicare benchmark of $29.60, which serves as the objective baseline for healthcare costs. While the facility is a Critical Access Hospital with a government-local ownership structure, the cash price is notably higher than the state average for this service. Patients with high-deductible plans may find the cash price more favorable than their insurance negotiated rates, which range from $100 to $361 depending on the specific plan. It is important to note that commercial insurance rates often include administrative overhead and contract markups that can inflate the final cost compared to direct payment.
To ensure you are receiving the most accurate and transparent pricing, we recommend requesting an itemized billing audit before finalizing payment. Hospitals often issue summary bills that obscure individual charges, making it difficult to identify errors, unbundled codes, or services not rendered. Since over 80% of hospital bills contain errors, obtaining a detailed line-by-line statement is the most effective way to reduce medical debt. Additionally, patients should inquire about prompt-pay discounts, which can reduce the total bill by 20% to 50% if paid upfront, bypassing the costly insurance claims cycle. Always verify your deductible status and confirm whether the facility will submit a claim to your insurance before scheduling, as automatic submission can void any cash payment agreements.