CMS Price Transparency Data

Blood test, vitamin B12

Facility: Norton-King's Daughters' Health

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $103
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 6.83x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Norton-King's Daughters' Health is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 6.83x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $29 (192%)
Insurance Median: $103 (683%)
Cash: $29 (192% of Medicare)
Ins. Median: $103 (683% 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 683% of the Medicare baseline (a markup of 583%). 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 $11 - $115 73%
Blue Cross Blue Shield $15 - $47 99%
Humana $15 99%
Managed Health Services Of Indiana $15 99%
Managed Health Services Of Kentucky $15 99%
Passport By Molina $15 99%
UnitedHealthcare $15 - $103 99%
Managed Health Services $16 - $23 106%
Caresource Of Kentucky $21 139%
Caresource Of Indiana $23 153%
Custom Design Benefits $30 - $66 199%
Cigna $111 736%
Encore $111 736%
Quality Care Partners $117 776%
Bluegrass $118 782%
First Health $118 782%
Healthlink $118 782%
Vha/Tristate $118 782%
Multiplan/Phcs $121 802%
Indiana Health Network $124 822%
Siho $124 822%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1373 East Sr 62, Madison, IN 47250
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals