CMS Price Transparency Data

Blood test, vitamin B12

Facility: Bluffton Regional Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $23
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Bluffton Regional Medical Center is $23. 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 1.53x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $23 (153%)
Cash: $15 (99% of Medicare)
Ins. Median: $23 (153% 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
Amish Aid $4 - $101 27%
Self Pay $4 - $232 27%
Lutheran Preferred Network $5 - $338 33%
Cigna $6 - $149 40%
Aetna $7 - $188 46%
Blue Cross Blue Shield $7 - $24 46%
Lutheran Trma $7 - $190 46%
Php Management Systems $7 - $163 46%
UnitedHealthcare $8 - $208 53%
Encore Ppo $9 - $206 60%
Sagamore Sebt $9 - $216 60%
Sagamore Health Newtork Inc $10 - $226 66%
Consumer Life $11 - $262 73%
Ahg Dana Employees $12 - $274 80%
Align Networks $13 - $295 86%
Northeast Hospice $13 - $295 86%
Physicians Health Plan $13 - $36 86%
Multiplan $14 - $338 93%
Prime Health Services $14 - $316 93%
Private Healthcare Systems Inc $14 - $316 93%
Tricare $14 93%
Advantage 360 $15 - $350 99%
Caresource $15 99%
Community Health Alliance $15 - $359 99%
Department Of Veterans Affairs $15 99%
Encore Health Network $15 - $380 99%
Humana $15 99%
Medicaid / KanCare $15 99%
Medicare (plans) $15 99%
Mhs $15 99%
Mhs In Hip $15 99%
Node Caresource Mcr Adv $15 99%
Node Devoted Health Mcr Adv $15 99%
Node Iu Health Mcr Adv $15 99%
Node Mhs Mcr Adv $15 99%
Node Non Par Hospice Agree $15 99%
Node Va $15 99%
Veterans Eval Services $15 99%
Allied Benefit Systems $16 - $380 106%
Cardinal Health Alliance $16 - $380 106%
County Jail Health Care $16 106%
First Health $16 - $363 106%
In Dept Of Correction $16 106%
Node Pphp Mcr Adv $16 106%
Ppom $16 - $380 106%
Php Freedom Network $17 - $27 113%
Php $18 - $38 119%
Us Department Of Labor $19 126%
Lutheran Advanced Network $23 153%
Lutheran Three Rivers Preferred Plus 150 $23 153%
Lutheran Three Rivers Preferred Plus 175 $26 172%
Encore Work Comp In $27 179%
Lutheran Northwest Health Preferred $30 199%
Managed Health Services Exchange $30 199%
Workers Compensation $30 199%
Encore Kba Epo $36 239%
Encore Kba Ppo $45 298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals