CMS Price Transparency Data

Blood test, vitamin B12

Facility: University of Iowa Hospital & Clinics

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $82
Cash Discount Price: $71
vs. Medicare Baseline: 5.44x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at University of Iowa Hospital & Clinics is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 5.44x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$15.08

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.08 (100%)

Cash / Self-Pay: $71 (471%)

Insurance Median: $82 (544%)

Cash: $71 (471% of Medicare)

Ins. Median: $82 (544% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.08 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 544% of the Medicare baseline (a markup of 444%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Wellpoint (Amerigroup)	$14 - $16	93%
Aetna	$15 - $167	99%
Blue Cross Blue Shield	$15 - $104	99%
Healthpartners	$15 - $184	99%
Iowa Total Care	$15 - $16	99%
Medical Associates	$15 - $108	99%
Molina Healthcare	$15	99%
UnitedHealthcare	$15 - $99	99%
American Health Plan	$16	106%
Immergrun	$23 - $54	153%
Quad City Community Healthcare	$33 - $163	219%
Aplos Health Plan	$34 - $174	225%
Midlands Choice	$54 - $141	358%
Oscar Health	$59 - $137	391%
Great River Health Systems	$65 - $152	431%
Sedgwick	$74 - $174	491%
Global Excel	$79 - $184	524%
Sanford Health Plan	$79 - $184	524%
Employee Benefit Systems	$82 - $195	544%
Sisco	$82 - $191	544%
Healthsmart	$84 - $195	557%
Hfn	$86 - $200	570%
Multiplan	$86 - $200	570%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $71.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Iowa Hospital & Clinics is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.