CMS Price Transparency Data

Blood test, vitamin B12

Facility: St Joseph Health System, LLC

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $18
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at St Joseph Health System, LLC is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.19x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $15 (99%)
Insurance Median: $18 (119%)
Cash: $15 (99% of Medicare)
Ins. Median: $18 (119% 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 - $254 13%
Aetna $2 - $208 13%
Align Network $2 - $245 13%
Cigna $2 - $306 13%
Encore Ppo $2 - $275 13%
First Health $2 - $230 13%
Frontpath Health Coalition $2 - $245 13%
Lutheran Network $2 - $168 13%
Lutheran Preferred $2 - $184 13%
Multiplan $2 - $239 13%
Prime Health Services $2 - $230 13%
Sagamore $2 - $166 13%
Self Pay $2 - $168 13%
Tricare $2 - $14 13%
UnitedHealthcare $2 - $152 13%
Allied Benefit Systems $3 - $275 20%
Blue Cross Blue Shield $3 - $111 20%
Department Of Veterans Affairs $3 - $15 20%
Humana $3 - $15 20%
In Dept Of Correction $3 - $16 20%
Managed Health Services $3 - $30 20%
Medical Mutual Of Ohio $3 - $306 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%
Parkview Healthplan Services $3 - $306 20%
Php $3 - $122 20%
Php Freedom Network $3 - $27 20%
Value Options $3 - $306 20%
Veterans Eval Services $3 - $15 20%
Amish Aid $4 - $73 27%
Lutheran Advanced Network $4 - $23 27%
Us Department Of Labor $4 - $19 27%
Encore Work Comp In $5 - $27 33%
Work Comp $6 - $30 40%
Encore Kba Epo $7 - $36 46%
Three Rivers $7 - $138 46%
Encore Kba Ppo $8 - $45 53%
Caresource $15 99%
Medicaid / KanCare $15 99%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals