Blood test, vitamin B12
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $103
- Cash Discount Price: $75
- vs. Medicare Baseline: 6.83x 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 683% of the Medicare baseline (a markup of 583%). 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 |
|---|---|---|
| Black Lung [6055] | $103 | 683% |
| Hooray Health [8000] | $103 | 683% |
| Lucent Health [6000] | $103 | 683% |
| Healthcare Highways [2210] | $103 | 683% |
| Web Tpa [2115] | $103 | 683% |
| Blue Cross Blue Shield | $103 | 683% |
| Aetna | $103 | 683% |
| Oncology Patient Assistance Programs [2295] | $103 | 683% |
| Department Of Corrections [1340] | $125 | 829% |
| Cigna | $145 | 962% |
| Healthpartners [1500] | $145 | 962% |
| National Association Of Letter Carriers [1695] | $145 | 962% |
| American Postal Workers Union [1070] | $145 | 962% |
| Humana | $148 | 981% |
| Administrative Concepts [1005] | $195 | 1293% |
| American Healthcare [1055] | $195 | 1293% |
| Multiplan [1680] | $195 | 1293% |
| First Health [1375] | $195 | 1293% |
| Coventry Healthcare [1320] | $206 | 1366% |
| Ks Disability Determination [6090] | $251 | 1664% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, the University of Kansas Health System - St Francis Campus in Topeka, KS, lists a gross charge of $251.00. This amount aligns exactly with the median negotiated rate of $103.00 and the median paid amount of $251.00 across 20 different payers, indicating that while insurance contracts cap the billed amount at $103.00 for many plans, the facility's final collection or full charge reflects the gross price. The cash median price for this service is $75.00, which is lower than both the negotiated rate and the gross charge. Patients with high-deductible plans or those without insurance may find the cash price of $75.00 more cost-effective than the $103.00 negotiated rate, as paying out-of-pocket can sometimes result in lower out-of-pocket costs if the insurance allowed amount exceeds the cash price.
The facility is a voluntary non-profit acute care hospital located in Topeka, KS, with a Medicare benchmark amount of $15.08. When compared to the Medicare rate, the gross charge of $251.00 represents a significant markup, while the cash price of $75.00 is approximately five times the Medicare benchmark. To minimize costs, patients should verify their specific plan's allowed amount, as the 20 payers listed range from $103.00 to $251.00 depending on the carrier. Additionally, patients are encouraged to contact the hospital directly to inquire about "self-pay"