Blood test, vitamin B12
Facility: Wesley Medical Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $33
- Cash Discount Price: $602
- vs. Medicare Baseline: 2.19x 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 219% of the Medicare baseline (a markup of 119%). 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 |
|---|---|---|
| Devoted Health | $15 | 99% |
| UnitedHealthcare | $15 | 99% |
| Aetna | $15 - $215 | 99% |
| United | $15 - $271 | 99% |
| Coventry Health Care | $15 | 99% |
| Humana | $15 | 99% |
| Medicaid / KanCare | $16 | 106% |
| Amerigroup | $16 | 106% |
| Ambetter / Centene | $16 - $108 | 106% |
| Triwest Health Alliance | $16 | 106% |
| Correct Care Solutions | $23 | 153% |
| First Health | $32 - $278 | 212% |
| Multiplan | $33 - $542 | 219% |
| Blue Cross Blue Shield | $40 | 265% |
| Health Partners Of Kansas | $104 - $301 | 690% |
| Wppa | $105 | 696% |
| Preferred Health Choices | $114 | 756% |
| Medical Associates Health Plan | $114 | 756% |
| Spirit Aerosystems | $193 | 1280% |
| Triwest Healthcare Alliance | $391 | 2593% |
| Usa Managed Care | $512 | 3395% |
Consumer Guidance & Cost Commentary
For CPT code 82607, a blood test for vitamin B12, the cash price at Wesley Medical Center in Wichita, KS, is $602. This amount matches the facility's cash median and is significantly higher than the state average, which is $15.08. While commercial insurance negotiates rates that act as a ceiling to protect in-network members, these rates often include administrative overhead and can exceed the cash price. For patients with high-deductible plans, paying the cash price of $602 upfront may be more cost-effective than relying on insurance, especially if the negotiated rate for their specific plan is higher than the cash amount. It is important to verify your deductible status before scheduling, as paying out-of-pocket without meeting your deductible could result in higher out-of-pocket costs than anticipated.
To potentially lower your costs, you should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. These discounts bypass the administrative costs associated with insurance claims processing and provide immediate liquidity to the facility. Additionally, while the facility has a facility rating of 4, patients should request a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. If you receive a balance bill for services rendered at an in-network facility, you may be entitled to protections under the No Surprises Act, and you should dispute any unexpected charges with your insurer rather than paying immediately.