CMS Price Transparency Data

Blood test, vitamin B12

Facility: Warner Hospital and Health Services

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $132
Cash Discount Price: $203
vs. Medicare Baseline: 8.75x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Warner Hospital and Health Services is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 8.75x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$203

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $203 (1346%)

Insurance Median: $132 (875%)

Cash: $203 (1346% of Medicare)

Ins. Median: $132 (875% 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 875% of the Medicare baseline (a markup of 775%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$41 - $214	272%
Blue Cross Blue Shield	$41 - $246	272%
Harmony Hp Mcaid-All Plans	$41	272%
Medicaid / KanCare	$41	272%
Meridian Hp-All Plans	$41	272%
Molina-All Other Plans	$41	272%
Health Alliance Med Adv	$64 - $103	424%
Humana	$64 - $214	424%
Molina Mcr/Mcd Dual	$64 - $103	424%
UnitedHealthcare	$64 - $214	424%
Wellcare Mcr Adv-All Plans	$64 - $103	424%
Healthlink Hmo	$121 - $196	802%
City Of Clinton (Employees Serv)-All Plans	$124 - $201	822%
Cigna	$129 - $209	855%
Caterpillar-All Plans	$132 - $214	875%
Multiplan Phcs-All Plans	$132 - $214	875%
Health Alliance-All Other Plans	$137 - $221	908%
Healthlink Ppo/Work Comp-All Other Plans	$137 - $221	908%
Consociate Care Ppo-All Plans	$140 - $226	928%
Hfn Ppo/Epo-All Plans	$140 - $226	928%
Three Rivers-All Plans	$148 - $239	981%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $203.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Warner Hospital and Health Services is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.