Blood test, vitamin B12
Facility: Stormont Vail Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $47
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.12x 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 312% of the Medicare baseline (a markup of 212%). 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 | 99% |
| Ambetter / Centene | $15 | 99% |
| Blue Cross Blue Shield | $16 - $57 | 106% |
Consumer Guidance & Cost Commentary
For the CPT code 82607 (Blood test, vitamin B12) at Stormont Vail Hospital in Topeka, KS, the median negotiated payment is $11,814, which is significantly higher than the Medicare benchmark of $15.08, reflecting a markup of 3.1 times the federal rate. While the facility offers a median negotiated rate of $47.00 to commercial payers, this amount remains substantially above the cash median, which is not available in the current data. Patients with high-deductible plans should be aware that paying cash upfront might result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price, though the specific cash rate for this service is currently unlisted. It is crucial to verify the exact cash price directly with the hospital before scheduling, as self-pay or prompt-pay discounts could further reduce the final bill.
This service is covered by three major payers, including UnitedHealthcare and Ambetter / Centene, with negotiated rates ranging from $15 to $57 depending on the specific insurance plan. The facility is a voluntary non-profit acute care hospital located in Topeka, and while the data does not provide explicit comparisons to state or county averages for this specific code, the significant disparity between the Medicare benchmark and the commercial negotiated rate highlights the importance of understanding the true cost of care. To avoid unexpected charges, patients should request an itemized billing audit to ensure no unbundled codes or services not rendered are included in the final invoice. Additionally, signing any consent waivers regarding out-of-network services should be avoided unless absolutely necessary, as these can inadvertently expose patients to balance billing risks, even at an