CMS Price Transparency Data

Blood test, vitamin B12

Facility: Lutheran Hospital of Indiana

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Lutheran Hospital of Indiana is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $17 (113%)
Insurance Median: $15 (99%)
Cash: $17 (113% of Medicare)
Ins. Median: $15 (99% 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
Advantage Health Solutions $2 - $158 13%
Encore Health Network $2 - $171 13%
Lutheran Preferred Network $2 - $114 13%
Multiplan $2 - $158 13%
Prime Health Services $2 - $142 13%
Sagamore $2 - $103 13%
Tricare $2 - $14 13%
UnitedHealthcare $2 - $94 13%
Aetna $3 - $90 20%
Allied Benefit Systems $3 - $171 20%
Blue Cross Blue Shield $3 - $70 20%
Department Of Veterans Affairs $3 - $15 20%
Evolutions $3 - $171 20%
Humana $3 - $15 20%
In Dept Of Correction $3 - $16 20%
Iu Health Plan $3 - $15 20%
Managed Health Services $3 - $30 20%
Medicare (plans) $3 - $15 20%
Node Devoted Health Mcr Adv $3 - $15 20%
Node Hospice Non Par Agree $3 - $15 20%
Node Pphp Mcr Adv $3 - $16 20%
Node Va $3 - $15 20%
Php Freedom Network $3 - $29 20%
Physicians Health Plan Of Northern Indiana $3 - $75 20%
Veterans Eval Services $3 - $15 20%
Align Network $4 - $24 27%
Ky Work Comp $4 - $48 27%
Lutheran Advanced Network $4 - $23 27%
Node Lutheran Network $4 - $26 27%
Node Lutheran Preferred Fixed 2 $4 - $23 27%
Us Department Of Labor $4 - $19 27%
Amish Aid $5 - $57 33%
Cigna $5 - $69 33%
Encore Work Comp In $5 - $27 33%
Self Pay $5 - $68 33%
Lutheran Network $6 - $95 40%
Lutheran Preferred $6 - $76 40%
Encore Ppo $7 - $93 46%
Node Encore Kba Epo $7 - $36 46%
Node Encore Kba Ppo $8 - $45 53%
Care Source $15 99%
Medicaid / KanCare $15 99%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals