CMS Price Transparency Data

Blood test, vitamin B12

Facility: Keokuk County Health Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $101
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 6.70x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Keokuk County Health Center is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 6.70x the Medicare baseline. Located in 23019 Highway 149, Sigourney, IA.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $92 (610%)
Insurance Median: $101 (670%)
Cash: $92 (610% of Medicare)
Ins. Median: $101 (670% 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 670% of the Medicare baseline (a markup of 570%). 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
Wellmark_Insurance $47 - $101 312%
United_Healthcare_Insurance $92 - $101 610%
Aetna $101 - $111 670%
Humana $101 670%
Wellcare_Insurance $101 670%
Wellpoint_Insurance $101 - $105 670%
Iowa_Total_Care_Insurance $105 696%
Molina_Insurance $105 696%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 23019 Highway 149, Sigourney, IA 52591
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals