CMS Price Transparency Data

Blood test, vitamin B12

Facility: Marshall Browning Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $70
Cash Discount Price: $145
vs. Medicare Baseline: 4.64x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Marshall Browning Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.64x the Medicare baseline. Located in 900 North Washington Street, Du Quoin, IL.

Cash / Self-Pay

$145

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $145 (962%)

Insurance Median: $70 (464%)

Cash: $145 (962% of Medicare)

Ins. Median: $70 (464% 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 464% of the Medicare baseline (a markup of 364%). 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	$24 - $164	159%
Blue Cross Blue Shield	$24 - $189	159%
Meridian Hp Mcaid - All Plans	$24	159%
Molina Mcaid - All Plans	$24	159%
Health Alliance Mcr Adv	$70	464%
Humana	$70	464%
UnitedHealthcare	$70 - $180	464%
Wellcare Mcr Adv - All Plans	$70	464%
Healthlink Hmo - All Other Plans	$145	962%
Healthlink Ppo	$145	962%
Cigna	$154	1021%
Health Alliance - All Other Plans	$176	1167%
Multiplan/Phcs - All Plans	$186	1233%
Zelis - All Plans	$186	1233%
Hope Trust - All Plans	$246	1631%

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 $145.
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 Marshall Browning Hospital 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.