Blood test, vitamin B12
Facility: Salina Regional Health Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $143
- Cash Discount Price: $111
- vs. Medicare Baseline: 9.48x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 948% of the Medicare baseline (a markup of 848%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $36 - $38 | 239% |
| Preferred Phsic | $95 | 630% |
| Preferred Healthcare - All Other Plans | $128 | 849% |
| Multiplan (Mpi)-All Plans | $143 | 948% |
| Cigna | $143 | 948% |
| Providers Care (Wppa)-All Plans | $143 | 948% |
| Aetna | $143 | 948% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, Salina Regional Health Center in Salina, KS, lists a cash median price of $111.00 and a median negotiated rate of $143.00. While the facility's cash price is notably lower than its negotiated rates, it is important to note that commercial insurance plans often pay significantly more than the cash price due to administrative overhead and contract structures. For instance, Blue Cross Blue Shield's negotiated rate for this service ranges between $36 and $38, which is lower than the cash price, illustrating that in-network coverage can sometimes result in lower out-of-pocket costs for patients with high-deductible plans if the insurance allowed amount exceeds the cash rate. Conversely, other payers like Preferred Phsic and Cigna have negotiated rates of $95 and $143 respectively, highlighting the variability in pricing across different insurance networks.
To ensure you receive the most accurate pricing, it is recommended to request an itemized billing audit before finalizing payment, as summary bills often obscure individual code costs and may contain unbundled charges or services not rendered. Additionally, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the total bill by 20% to 50% if paid in full upfront, bypassing the costly claims processing cycle. While the facility's Medicare amount is $15.08, commercial rates vary widely; for example, Preferred Healthcare lists a single plan rate of $128.00, which is higher than the Medicare benchmark. Always verify your specific plan's allowed amount and deductible