Blood test, vitamin D
Facility: Bob Wilson Memorial Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $433
- Cash Discount Price: $212
- vs. Medicare Baseline: 14.63x 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 1463% of the Medicare baseline (a markup of 1363%). 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 |
|---|---|---|
| Centura Employee Plan | $37 | 125% |
| UnitedHealthcare | $170 - $442 | 574% |
| Medicare (plans) | $170 | 574% |
| Kansas Health | $170 | 574% |
| Humana | $170 | 574% |
| Aetna | $170 - $424 | 574% |
| Blue Cross Blue Shield | $292 | 986% |
| Multiplan | $477 - $493 | 1611% |
| Health Partners Of Kansas | $498 | 1682% |
| Wppa | $503 | 1699% |
Consumer Guidance & Cost Commentary
For the CPT code 82306, representing a blood test for vitamin D, Bob Wilson Memorial Hospital in Ulysses, KS, lists a gross charge of $530.00. While the facility's cash median price is $212.00, commercial insurance negotiated rates vary significantly, ranging from $37 for Centura Employee Plans up to $503 for Wppa. It is important to note that the facility's cash rate of $212.00 is lower than the state average of $292.00, making it a potentially cost-effective option for patients with high-deductible plans or those who can pay out-of-pocket. However, for patients relying on insurance, the negotiated rates often exceed the cash price; for instance, Aetna plans may face rates up to $424, which is higher than the cash alternative. Patients should verify their specific plan's allowed amount before scheduling, as in-network rates do not always represent the lowest possible cost.
When evaluating the financial impact of insurance, it is crucial to understand that Medicare serves as the objective baseline for pricing, with a benchmark amount of $29.60 for this service. Commercial negotiated rates frequently range from 200% to 300% of the Medicare rate, whereas fair pricing is typically defined as 120% to 150%. For this specific test, the facility's median negotiated rate of $433.00 is substantially higher than the Medicare benchmark, illustrating the significant markup common in commercial contracts. To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay"