CMS Price Transparency Data

Blood test, vitamin B12

Facility: Perry County Memorial Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $56
Cash Discount Price: $151
vs. Medicare Baseline: 3.71x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Perry County Memorial Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 3.71x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$151

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $151 (1001%)

Insurance Median: $56 (371%)

Cash: $151 (1001% of Medicare)

Ins. Median: $56 (371% 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 371% of the Medicare baseline (a markup of 271%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Bc 130	$7 - $172	46%
Group Insurance	$7 - $215	46%
Nsa	$7 - $133	46%
Medicaid / KanCare	$15 - $215	99%
Medicare (plans)	$15 - $56	99%
Veterans Administration	$15 - $215	99%
Workers Compensation	$108	716%
Guarantor Liable	$150 - $215	995%
Pcmh Insurnace	$168 - $215	1114%
Secondary Insurance	$172	1141%
UnitedHealthcare	$172	1141%
Operating Engineers	$183	1214%
Boilermakers Healthcare	$187	1240%
Cigna	$187	1240%
Great West	$187 - $215	1240%
Sagxxxx	$187	1240%
Champus	$215	1426%
Ngs American, Inc	$215	1426%
Patoka Valley	$215	1426%
Southwire	$215	1426%
Tricare	$215	1426%
Wausau Benefits	$215	1426%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $151.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Perry County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.