CMS Price Transparency Data

Blood test, vitamin B12

Facility: Morris Hospital & Healthcare Centers

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $182
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 12.07x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Morris Hospital & Healthcare Centers is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 12.07x the Medicare baseline. Located in 150 W High St, Morris, IL.
Cash / Self-Pay
$80

Average discount available for prompt cash payment at this facility.

Insurance Median
$182

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: $80 (531%)
Insurance Median: $182 (1207%)
Cash: $80 (531% of Medicare)
Ins. Median: $182 (1207% 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 1207% of the Medicare baseline (a markup of 1107%). 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 $15 - $204 99%
Choicecare Hum Mcr Ppo $15 99%
UnitedHealthcare $15 - $256 99%
Health Alliance Mcr Adv $16 106%
Blue Cross Blue Shield $144 - $160 955%
Cigna $147 - $250 975%
Caterpillar - All Plans $150 995%
Capp Care Ppo-Oth $160 1061%
Ambetter / Centene $233 1545%
Choicecare Hum Othr - All Other Plans $266 1764%
Multiplan - All Other Plans $266 1764%
Multiplan Prime Ntwrk $266 1764%
Health Alliance - All Other Plans $283 1877%
Hfn All Plans - All Plans $283 1877%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 150 W High St, Morris, IL 60450
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals