Blood test, vitamin B12
Facility: Providence Medical Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $16
- Cash Discount Price: $15
- vs. Medicare Baseline: 1.06x 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 |
|---|---|---|
| Blue Cross Blue Shield | $15 - $36 | 99% |
| Aetna | $15 - $28 | 99% |
| Medicare (plans) | $15 | 99% |
| Healthy Blue | $15 - $16 | 99% |
| Medicaid / KanCare | $15 | 99% |
| Celtic | $15 - $24 | 99% |
| Cigna | $15 | 99% |
| Midland Care Connection | $15 | 99% |
| UnitedHealthcare | $15 - $25 | 99% |
| Tricare | $15 | 99% |
| Kansas Superior Select | $16 | 106% |
| Corizon | $20 | 133% |
| Well Path Prison | $21 | 139% |
| Employer Direct Healthcare | $21 | 139% |
| Centurion | $23 | 153% |
| Naphcare | $23 | 153% |
| Comp Alliance - Fka Compresults Worker Compensation | $30 | 199% |
| Oha Networks | $33 | 219% |
| Worker Compensation | $34 | 225% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Providence Medical Center in Kansas City, KS, the facility's cash median rate is $15.00, which is significantly lower than the negotiated rates paid by most insurance plans. While the facility's cash price is also lower than the state average of $40.00, patients with high-deductible plans may find that paying the $15.00 cash rate upfront is more cost-effective than relying on insurance, as many commercial payers negotiate rates that exceed the cash price. The facility offers a prompt-pay discount for those who settle the bill immediately, and patients should explicitly ask for self-pay pricing or a waiver of insurance submission before scheduling to ensure they receive the lowest possible rate.
The Medicare benchmark for this service is $15.08, which serves as a reliable baseline for evaluating the facility's pricing structure. The facility's cash rate aligns closely with this federal standard, whereas the median negotiated rate of $16.00 reflects the administrative costs and contract dynamics inherent in commercial insurance billing. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still request an itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included. Comparing the facility's rates to the Medicare benchmark reveals that the commercial negotiated rates are consistent with typical market pricing, but the cash option remains the most transparent and affordable path for self-pay patients.