Blood test, vitamin B12
Facility: St. Catherine Hospital - Garden City
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $51
- Cash Discount Price: $80
- vs. Medicare Baseline: 3.38x 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 338% of the Medicare baseline (a markup of 238%). 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 |
|---|---|---|
| UnitedHealthcare | $15 - $114 | 99% |
| Aetna | $15 - $155 | 99% |
| Medicare (plans) | $15 | 99% |
| Devoted Health | $15 | 99% |
| Kansas Health | $15 | 99% |
| Blue Cross Blue Shield | $15 - $68 | 99% |
| Innovage | $15 | 99% |
| Humana | $15 | 99% |
| Kaiser | $15 - $60 | 99% |
| Cigna | $15 - $20 | 99% |
| Centura Employee Plan | $19 | 126% |
| United Colorado Doctor'S Plan | $23 | 153% |
| Direct To Employer | $26 - $87 | 172% |
| Denver Health | $51 | 338% |
| Peak Health | $85 | 564% |
| Wpaa | $129 | 855% |
| Christian Health Aid | $148 | 981% |
| Multiplan | $152 - $185 | 1008% |
| Health Partners Of Kansas | $179 | 1187% |
Consumer Guidance & Cost Commentary
For the CPT code 82607 (Blood test, vitamin B12) at St. Catherine Hospital - Garden City, the facility's gross charge is $201.00. While the Medicare benchmark for this service is $15.08, the hospital's negotiated rates with commercial payers range from $15 to $185, with a median negotiated rate of $51.00. This represents a significant markup compared to the federal baseline, as commercial rates often include administrative overhead and contract premiums that exceed the true cost of care. For patients with high-deductible plans, the cash price of $80.00 may be more favorable than the insurance negotiated rate, particularly if the patient's deductible has not yet been met or if their specific plan allows for higher out-of-network costs.
To minimize out-of-pocket expenses, patients should proactively request a "self-pay" or "prompt-pay" discount before scheduling the test, as these upfront payment incentives can bypass standard insurance billing cycles and reduce administrative fees. It is also important to verify that the facility is in-network for your specific plan, as in-network status does not guarantee the lowest possible price, and some commercial rates can exceed the cash price. Finally, if you receive a bill, always request a full itemized statement to review every line item and code, ensuring there are no errors or unbundled charges before making a payment.