CMS Price Transparency Data

Blood test, vitamin B12

Facility: Northwest Health - Starke

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Northwest Health - Starke is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 102 E Culver Rd, Knox, IN.
Cash / Self-Pay
$31

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: $31 (206%)
Insurance Median: $15 (99%)
Cash: $31 (206% 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
Lutheran $5 - $52 33%
Self Pay $5 - $106 33%
Medpartners $6 - $65 40%
Blue Cross Blue Shield $7 - $24 46%
Physicians Health Plan $7 - $80 46%
Alpha Baking $8 - $87 53%
Php $10 - $116 66%
Encore $11 - $168 73%
UnitedHealthcare $12 - $137 80%
Multiplan Inc $13 - $174 86%
Aetna $14 - $167 93%
Cigna $14 - $160 93%
Coventry First Health $14 - $167 93%
Tricare $14 93%
Caresource $15 99%
Community Health Alliance $15 - $174 99%
Humana $15 99%
Lutheran Network $15 - $170 99%
Managed Health Services $15 - $30 99%
Medicaid / KanCare $15 99%
Medicare (plans) $15 99%
Mhs $15 99%
Node Champva $15 99%
Node Devoted Health Mcr Adv $15 99%
Node Hospice Non Par Agree $15 99%
Node Va $15 99%
Sagamore Health Network $15 - $170 99%
In Dept Of Correction $16 106%
Node Pphp Mcr Adv $16 106%
Ppom $16 - $181 106%
Us Department Of Labor $19 126%
Indiana Workers Comp $30 199%
Encore Kba Epo $36 239%
Magnacare Ma $36 239%
Encore Kba Ppo $45 298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 E Culver Rd, Knox, IN 46534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals