Blood test, vitamin D
Facility: Lindsborg Community Hospital
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $266
- Cash Discount Price: $204
- vs. Medicare Baseline: 8.99x 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 899% of the Medicare baseline (a markup of 799%). 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 |
|---|---|---|
| Tricare | $137 | 463% |
| Coventry Mcr Adv | $138 | 466% |
| Blue Cross Blue Shield | $216 | 730% |
| Cigna | $247 | 834% |
| UnitedHealthcare | $262 | 885% |
| Coventry Comm-All Other Plans | $262 | 885% |
| Multiplan-All Plans | $271 | 916% |
| Phcs Preferred-All Plans | $271 | 916% |
| Wppa-All Plans | $276 | 932% |
| Health Partners -All Plans | $276 | 932% |
| Century Health-All Plans | $276 | 932% |
| Coventry Wc | $276 | 932% |
Consumer Guidance & Cost Commentary
For the CPT code 82306 (Blood test, vitamin D) at Lindsborg Community Hospital in Lindsborg, KS, the facility's cash median rate is $204.00, which is lower than the negotiated rates paid by most insurance carriers. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. Specifically, the median negotiated rate across 12 payers is $266.00, and the highest negotiated amount listed is $276.00, meaning paying out-of-pocket could save patients compared to using insurance for this service. Additionally, the Medicare benchmark for this code is $29.60, which serves as a cost-basis standard; commercial rates are significantly higher than this federal baseline, highlighting the markup inherent in private insurance contracts.
Patients should verify their deductible status before scheduling, as high negotiated rates may not apply if the deductible has not been met. If you have a high-deductible plan, the cash price of $204.00 might be more cost-effective than the insurance allowed amount, especially since the facility offers a prompt-pay discount for upfront payments. To maximize savings, contact the hospital directly to inquire about self-pay or prompt-pay discounts before your visit, as these rates are often not automatically applied during insurance processing. Furthermore, if you receive an itemized bill, request a full line-by-line audit to ensure no errors, double-billing, or unbundled codes are present, as over 80% of hospital bills contain discrepancies that can be resolved through formal written disputes.