CMS Price Transparency Data

Blood test, vitamin B12

Facility: Boone County Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $24
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Boone County Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.59x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $42 (279%)
Insurance Median: $24 (159%)
Cash: $42 (279% of Medicare)
Ins. Median: $24 (159% 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
Va Ccn-All Plans $4 - $12 27%
Aetna $10 - $62 66%
Amerigroup Mcr Adv - All Other Plans $10 - $33 66%
Choice Care Mcr Adv - All Plans $10 - $33 66%
Humana $10 - $71 66%
Iowa Hlth Adv - All Plans $10 - $33 66%
Mt Carmel Hp - All Plans $10 - $33 66%
UnitedHealthcare $10 - $47 66%
Iowa Total Care Mcaid - All Plans $11 - $36 73%
Meridian Mcaid - All Plans $11 - $36 73%
Medicaid / KanCare $12 - $37 80%
Tricare $15 99%
Healthsmart Accell Network $18 - $56 119%
Medical Associates Hp-All Plans $19 - $60 126%
Healthsmart Ppo - All Other Plans $20 - $64 133%
Health Alliance-All Plans $22 - $71 146%
Midlands Choice-All Plans $23 - $73 153%
Mutually Preferred-All Plans $24 - $75 159%
Wellmark Hmo $48 318%
Wellmark Ppo - All Other Plans $52 345%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals