Blood test, vitamin B12
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $15
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.99x 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.
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 |
|---|---|---|
| Smarthealth | $14 - $21 | 93% |
| UnitedHealthcare | $15 - $42 | 99% |
| Medicare (plans) | $15 | 99% |
| Via Christi Research | $15 | 99% |
| Humana | $15 | 99% |
| Blue Cross Blue Shield | $15 | 99% |
| Saint Lukes Health Systems | $15 | 99% |
| Va | $15 | 99% |
| Vc Hope | $15 | 99% |
| Corizon | $19 | 126% |
| Mdsave | $22 | 146% |
| Medicaid / KanCare | $26 | 172% |
| Aetna | $47 | 312% |
| Coventry City Of Wichita | $61 | 405% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, the negotiated rates at Ascension Via Christi Hospitals Wichita, Inc. range from $14 to $61 depending on the payer. The lowest negotiated amount is $14 with Smarthealth, while the highest is $61 with Coventry City Of Wichita. These rates are benchmarked against the Medicare amount of $15.08, which serves as the federal baseline for evaluating hospital pricing markups. While the facility's median negotiated rate is $15.00, which aligns closely with the Medicare benchmark, patients should note that commercial rates can vary significantly. It is important to understand that cash-pay options may sometimes be more cost-effective for individuals with high-deductible plans if the insurance negotiated rate exceeds the cash price, though the data provided does not list a specific cash median for this service.
To minimize costs, patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront. This strategy bypasses the administrative overhead associated with insurance claims processing and can result in immediate savings. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to verify that all components of the visit, including laboratory services, are covered under the same network agreements to avoid unexpected charges. Given that over 80% of hospital bills contain errors, patients are advised to request a detailed, itemized statement before finalizing payment to ensure accuracy and identify any unbundled codes or services not rendered.