CMS Price Transparency Data

Blood test, vitamin B12

Facility: Kosciusko Community Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $21
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Kosciusko Community Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.39x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $38 (252%)
Insurance Median: $21 (139%)
Cash: $38 (252% of Medicare)
Ins. Median: $21 (139% 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 $2 - $300 13%
Aetna $2 - $192 13%
Blue Cross Blue Shield $2 - $24 13%
Department Of Veterans Affairs $2 - $15 13%
Encore Health Network $2 - $336 13%
First Health Network $2 - $271 13%
Humana $2 - $15 13%
In Dept Of Correction $2 - $16 13%
Iu Health $2 - $15 13%
Lutheran Preferred Network $2 - $289 13%
Medicare (plans) $2 - $15 13%
Mhs $2 - $15 13%
Node Devoted Health Mcr Adv $2 - $15 13%
Node Non Par Hospice Agree $2 - $15 13%
Node Pphp Mcr Adv $2 - $16 13%
Node Va $2 - $15 13%
Prime Health Services $2 - $271 13%
Private Healthcare Systems $2 - $310 13%
Sagamore $2 - $339 13%
Tricare $2 - $14 13%
UnitedHealthcare $2 - $190 13%
Veterans Eval Services $2 - $15 13%
Align In Work Comp $3 - $24 20%
Lutheran Advanced Network $3 - $23 20%
Lutheran Preferred $3 - $30 20%
One Call Work Comp $3 - $24 20%
Us Department Of Labor $3 - $19 20%
Amish Aid $4 - $76 27%
Encore Work Comp In $4 - $27 27%
Managed Health Services Exchange $4 - $30 27%
Self Pay $4 - $141 27%
Workers Comp $4 - $30 27%
Encore Kba Epo $5 - $36 33%
Encore Kba Ppo $6 - $45 40%
Encore $7 - $144 46%
Php Freedom Network $7 - $139 46%
Physicians Health Plan $7 - $166 46%
Trma Inc $7 - $162 46%
Connecticut General Life Insurance Company $11 - $213 73%
Cigna $12 - $228 80%
Caresource $15 99%
Managed Health Services $15 99%
Medicaid / KanCare $15 99%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals