CMS Price Transparency Data

Blood test, vitamin B12

Facility: Mercyone Dyersville Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $121
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 8.02x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Mercyone Dyersville Medical Center is $121. 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 8.02x the Medicare baseline. Located in 1111 3Rd Street Sw, Dyersville, IA.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $121 (802%)
Cash: $95 (630% of Medicare)
Ins. Median: $121 (802% 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 802% of the Medicare baseline (a markup of 702%). 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
Health Choices $55 365%
Blue Cross Blue Shield $81 537%
Medicare (plans) $83 - $90 550%
UnitedHealthcare $87 - $102 577%
The Alliance $89 590%
Iowa Total Care $101 670%
Geha $102 676%
Medicaid / KanCare $103 683%
Amish Hospital Aid $109 723%
1199 National Benefit Fund $121 802%
Aetna $121 802%
Allied Benefit Systems $121 802%
Asr Health Benefits $121 802%
Christian Brother Services $121 802%
Coventry $121 802%
First Health $121 802%
Luminare Health $121 802%
Medical Mutual $121 802%
Meritain $121 802%
Trustmark Small Business Benefits $121 802%
Webtpa $121 802%
Auxiant $131 869%
Cigna $131 869%
Medica $131 869%
Midlands $131 869%
Midlands Choice $131 869%
Multiplan $131 869%
Ambetter / Centene $137 908%
Crime Victim Assistance $146 968%
Iowa Dept Of Public Health $146 968%
Claimdoc $164 1088%
Nova $164 1088%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 3Rd Street Sw, Dyersville, IA 52040
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals