Blood test, vitamin B12
Facility: University Of Kansas Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $48
- Cash Discount Price: $14
- vs. Medicare Baseline: 3.18x 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 318% of the Medicare baseline (a markup of 218%). 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 |
|---|---|---|
| Larned State Hospital [503200090] | $20 | 133% |
| Health Plan Inc [503999941] | $32 | 212% |
| Accarent Health [503999034] | $34 | 225% |
| Alt Carelon Behavioral Health [503200905] | $34 | 225% |
| Med-Pay [503200040] | $41 | 272% |
| Healthlink [503200007] | $41 - $50 | 272% |
| Php [503200005] | $41 - $50 | 272% |
| Geha [503200036] | $41 | 272% |
| Inter-Americas Insurance [503999032] | $41 | 272% |
| Alt Wppa [5032000964] | $41 | 272% |
| Allied National [503999937] | $41 | 272% |
| Cerner [503200038] | $41 | 272% |
| Cigna | $43 - $54 | 285% |
| First Health [5032000110] | $45 | 298% |
| Aha-Healthcare Preferred [503200050] | $45 | 298% |
| Blue Cross Blue Shield | $47 - $52 | 312% |
| Coeur Plan Services [503301517] | $48 | 318% |
| Correct Care Solutions [50311253] | $48 | 318% |
| Consolidated Billing [50311256] | $48 | 318% |
| Ascension Living Hope [503201517] | $48 | 318% |
| Orscheln Industries [503201608] | $51 | 338% |
| Alt Lucent Health Solutions [503202603] | $52 | 345% |
| Alt Lineco [5032000976] | $52 | 345% |
| Empire Plan/Nyship [503200705] | $52 | 345% |
| Quiktrip [5032000412] | $54 | 358% |
| Point Comfort Underwriters [503200018] | $54 | 358% |
| Century Health Solutions [503200054] | $54 | 358% |
| Meritain Health [503200039] | $57 | 378% |
| Wppa [503200056] | $57 | 378% |
| Sanford Health Plan [503999027] | $61 | 405% |
| Three Rivers Provider Network [503999029] | $61 | 405% |
| Usa Managed Care [503999030] | $61 | 405% |
| Plan Care America [503999026] | $61 | 405% |
| Employers Health Network [503999025] | $61 | 405% |
| Workers Comp [503999901] | $65 - $82 | 431% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at University Of Kansas Hospital, the facility's cash price of $14.00 is significantly lower than the typical negotiated rates paid by insurance plans, which range from $20 to $82 depending on the payer. While the hospital's negotiated average of $48.00 is higher than the cash rate, patients with high-deductible plans may find paying the cash price upfront more cost-effective, as the insurance allowed amount often exceeds the cash price. The facility offers a prompt-pay discount for upfront payments, which can reduce the bill further by bypassing administrative fees and collection costs, but patients must request this self-pay classification before scheduling to avoid automatic insurance submission.
The hospital's cash price of $14.00 is notably lower than the Medicare benchmark of $15.08, indicating that the facility's base rate is already competitive relative to federal standards. Although the facility is an Acute Care Hospital in Kansas City with a government ownership structure, the wide variation in negotiated rates across 35 payers suggests that individual plan contracts heavily influence final costs. Consumers should verify their specific plan's allowed amount and check for self-pay or prompt-pay discounts directly with the hospital to ensure they are not paying the full negotiated rate when a lower cash option is available.