CMS Price Transparency Data

Blood test, vitamin B12

Facility: Mercyone North Iowa Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $25
  • Cash Discount Price: $664
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Mercyone North Iowa Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $664. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.66x the Medicare baseline. Located in 1000 Fourth Street Sw, Mason City, IA.
Cash / Self-Pay
$664

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $664 (4403%)
Insurance Median: $25 (166%)
Cash: $664 (4403% of Medicare)
Ins. Median: $25 (166% 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.

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
Aetna $15 - $65 99%
Blue Cross Blue Shield $15 99%
Geha $15 99%
Iowa Total Care $15 99%
Medicaid / KanCare $15 99%
Medicare (plans) $15 99%
UnitedHealthcare $15 - $124 99%
Centivo $19 126%
Amish Hospital Aid $20 133%
Oscar $20 133%
Ambetter / Centene $25 166%
Claimdoc $30 199%
Nova $30 199%
Health Choices $32 212%
Medical Associates $32 212%
1199 National Benefit Fund $65 431%
Allied Benefit Systems $65 431%
Asr Health Benefits $65 431%
Christian Brother Services $65 431%
Coventry $65 431%
First Health $65 431%
Lucent Health $65 431%
Luminare Health $65 431%
Medical Mutual $65 431%
Meritain $65 431%
Trustmark Small Business Benefits $65 431%
Webtpa $65 431%
Preferred One $81 537%
Health Partners $83 550%
Auxiant $87 577%
Cigna $87 577%
Medica $87 577%
Midlands $87 577%
Midlands Choice $87 577%
Mhnet $99 656%
Multiplan $112 743%
Crime Victim Assistance $124 822%
Iowa Dept Of Public Health $124 822%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Fourth Street Sw, Mason City, IA 50401
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals