CMS Price Transparency Data

Blood test, vitamin B12

Facility: Mercy Medical Center-New Hampton

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $138
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 9.15x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Mercy Medical Center-New Hampton is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 9.15x the Medicare baseline. Located in 308 North Maple Avenue, New Hampton, IA.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $95 (630%)
Insurance Median: $138 (915%)
Cash: $95 (630% of Medicare)
Ins. Median: $138 (915% 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 915% of the Medicare baseline (a markup of 815%). 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
Aetna $58 - $138 385%
Blue Cross Blue Shield $58 385%
Medicare (plans) $59 - $65 391%
UnitedHealthcare $62 - $88 411%
Health Choices $74 491%
Medical Associates $74 491%
Amish Hospital Aid $78 517%
Oscar $86 570%
Geha $88 584%
Ambetter / Centene $98 650%
Iowa Total Care $100 663%
Medicaid / KanCare $101 - $102 670%
Claimdoc $117 776%
Nova $117 776%
1199 National Benefit Fund $138 915%
Allied Benefit Systems $138 915%
Asr Health Benefits $138 915%
Coventry $138 915%
First Health $138 915%
Lucent Health $138 915%
Luminare Health $138 915%
Medical Mutual $138 915%
Meritain $138 915%
Trustmark Small Business Benefits $138 915%
Webtpa $138 915%
First Choice Health $139 922%
Health Partners $140 928%
Auxiant $142 942%
Cigna $142 942%
Medica $142 942%
Midlands $142 942%
Midlands Choice $142 942%
Crime Victim Assistance $146 968%
Iowa Dept Of Public Health $146 968%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 308 North Maple Avenue, New Hampton, IA 50659
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals