CMS Price Transparency Data

Blood test, vitamin B12

Facility: Ascension St Vincent Randolph

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $10
  • Cash Discount Price: $164
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Ascension St Vincent Randolph is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.66x the Medicare baseline. Located in 473 E Greenville Ave, Winchester, IN.
Cash / Self-Pay
$164

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $164 (1088%)
Insurance Median: $10 (66%)
Cash: $164 (1088% of Medicare)
Ins. Median: $10 (66% 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
Blue Cross Blue Shield $7 - $20 46%
Encore Exclusive $7 46%
Patoka Valley Tier 1 $7 46%
Patoka Valley Tier 2 $7 46%
Smarthealth Ppo $8 - $25 53%
Smarthealth Ppo/Hdhp 20161001 $8 - $25 53%
UnitedHealthcare $13 86%
Medicaid / KanCare $15 99%
Mhs Care Connect $15 99%
Humana $34 225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 473 E Greenville Ave, Winchester, IN 47394
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals