CMS Price Transparency Data

Blood test, vitamin D

Facility: The Children's Mercy Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $202
  • Cash Discount Price: $149
  • vs. Medicare Baseline: 6.82x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at The Children's Mercy Hospital is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 6.82x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.
Cash / Self-Pay
$149

Average discount available for prompt cash payment at this facility.

Insurance Median
$202

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)
Cash / Self-Pay: $149 (503%)
Insurance Median: $202 (682%)
Cash: $149 (503% of Medicare)
Ins. Median: $202 (682% of 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 682% of the Medicare baseline (a markup of 582%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $26 - $209 88%
Healthy Blue $28 - $81 95%
Medicaid / KanCare $29 98%
Home State Health $71 240%
Blue Cross Blue Shield $128 - $230 432%
Cigna $149 - $216 503%
Medica $181 611%
Aetna $187 - $211 632%
Centivo $202 682%
Health Midwest Comprehensive Care $202 682%
Nebraska Furniture Mart $202 682%
Orscheln $202 682%
Quiktrip $202 682%
Wellfit/Centrus $202 682%
Wppa Providrs Care $202 682%
Humana $207 699%
Coventry Health Care Of Kansas $230 777%
Coxhealth Network $230 777%
Mercy Health $233 787%
Multiplan $236 797%
American Healthcare Alliance $264 892%
Healthlink $274 926%
National Preferred Provider Network $280 946%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2401 Gillham Road, Kansas City, MO 64108
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens