Blood test, vitamin D
Facility: Regional Medical Center
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $870
- Cash Discount Price: $150
- vs. Medicare Baseline: 29.39x 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 2939% of the Medicare baseline (a markup of 2839%). 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 |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 2939% |
Consumer Guidance & Cost Commentary
Regional Medical Center in Manchester, Iowa, offers a cash median price of $150.00 for the "Blood test, vitamin D" service (CPT code 82306). While the facility's negotiated rate with Medical Associates Health Plan - Tri is set at $870.00, the cash price is significantly lower, potentially offering savings for patients with high-deductible plans or those without insurance. It is important to note that the facility is a Critical Access Hospital owned by the local government and carries a rating of 4 stars out of 5.
For patients considering payment options, it is advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts, as these upfront fees can reduce the final bill. Although the data does not provide specific county or state average comparisons for this procedure, the stark difference between the $870.00 negotiated rate and the $150.00 cash rate highlights the potential for significant cost savings when paying out-of-pocket. Consumers should verify their plan's allowed amount before scheduling to avoid unexpected balance billing, though the No Surprises Act generally protects patients from such charges for out-of-network services at in-network facilities.