CMS Price Transparency Data

Blood test, vitamin B12

Facility: Buena Vista Regional Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $22
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Buena Vista Regional Medical Center is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.46x the Medicare baseline. Located in 1525 West 5Th Street, Storm Lake, IA.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $19 (126%)
Insurance Median: $22 (146%)
Cash: $19 (126% of Medicare)
Ins. Median: $22 (146% 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
Ambetter / Centene $12 - $25 80%
Champus $12 - $13 80%
Champva $12 - $13 80%
Health Partners $12 - $25 80%
Medicare (plans) $12 - $25 80%
UnitedHealthcare $12 - $25 80%
Wellcare $12 - $25 80%
American Postal Workers $18 - $20 119%
Avera $20 - $21 133%
Cigna $21 - $22 139%
Aetna $22 - $25 146%
First Administrators $22 - $24 146%
Golden Rule $22 - $24 146%
Great West $22 - $24 146%
Healthscope $22 - $24 146%
Medical Associates $22 - $24 146%
Meritain $22 - $24 146%
Midlands Choice $22 - $24 146%
Blue Cross Blue Shield $23 - $25 153%
Humana $23 - $25 153%
Iowa Health Advantage $23 - $25 153%
Wellpoint $23 - $25 153%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1525 West 5Th Street, Storm Lake, IA 50588
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals