Blood test, vitamin B12
Facility: Centura St. Catherine-Dodge City
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $185
- Cash Discount Price: $112
- vs. Medicare Baseline: 12.27x 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 1227% of the Medicare baseline (a markup of 1127%). 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 |
|---|---|---|
| Aetna | $15 - $225 | 99% |
| Cigna | $15 | 99% |
| Humana | $15 | 99% |
| Kansas Health | $15 | 99% |
| Medicare (plans) | $15 | 99% |
| Kaiser | $15 | 99% |
| Blue Cross Blue Shield | $15 - $67 | 99% |
| Centura Employee Plan | $19 | 126% |
| UnitedHealthcare | $185 | 1227% |
| Wpaa | $197 | 1306% |
| Christian Health Aid | $225 | 1492% |
| Multiplan | $225 - $253 | 1492% |
| Health Partners Of Kansas | $253 | 1678% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Centura St. Catherine-Dodge City, the cash median price is $112.00, which is significantly lower than the facility's typical negotiated rates ranging from $15 to $253 depending on the insurance plan. While Medicare sets a benchmark of $15.08 for this service, commercial payers like UnitedHealthcare and Christian Health Aid negotiate rates as high as $185 and $225 respectively, often exceeding the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash rate of $112.00 directly, as this avoids the administrative overhead and markup inherent in insurance billing cycles where negotiated rates can inflate the baseline cost by 20% to 40%.
To ensure you are receiving the most accurate pricing, it is crucial to request an itemized billing audit before finalizing payment, as summary bills often obscure individual code costs and potential errors. Additionally, you should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed. While the facility is located in Dodge City, KS, and operates as an acute care hospital, the specific negotiated rates vary widely across the 13 participating payers, with some plans like Aetna and Blue Cross Blue Shield offering ranges between $15 and $67. Always verify your specific plan's allowed amount and deductible status before scheduling to avoid unexpected balance billing or overcharges.