Blood test, vitamin B12
Facility: Overland Park Reg Med Ctr
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $32
- Cash Discount Price: $107
- vs. Medicare Baseline: 2.12x 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 212% of the Medicare baseline (a markup of 112%). 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 |
|---|---|---|
| Cigna | $8 - $15 | 53% |
| Blue Cross Blue Shield | $13 - $48 | 86% |
| United | $14 - $51 | 93% |
| Aetna | $14 - $57 | 93% |
| Home State Health Plan | $14 | 93% |
| Amerigroup | $15 | 99% |
| Coventry | $15 - $45 | 99% |
| Celtic | $15 | 99% |
| Humana | $15 - $37 | 99% |
| Devoted Health | $15 | 99% |
| Healthyblue | $15 | 99% |
| Wellcare | $15 | 99% |
| Medicaid / KanCare | $16 | 106% |
| Triwest Health Alliance | $16 | 106% |
| Unicare | $16 | 106% |
| Pyramid Life | $16 | 106% |
| Nhc Advantage | $19 - $21 | 126% |
| Ambetter / Centene | $19 - $21 | 126% |
| Wppa Providrs Care Network | $20 - $23 | 133% |
| Oscar | $23 | 153% |
| Multiplan | $27 - $83 | 179% |
| Corvel Corporation | $32 - $73 | 212% |
| Oha Network | $33 - $56 | 219% |
| Universal Healthcare | $35 - $39 | 232% |
| Coventry Kc Mo | $41 - $46 | 272% |
| College Park Family Care Center | $44 - $48 | 292% |
| Focus Healthcare Mgmt, Inc | $76 - $84 | 504% |
| Cco, Inc. | $76 - $84 | 504% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Overland Park Reg Med Ctr, the cash price is $107.00, which matches the facility's listed gross charge. While the facility's negotiated rates with major insurers like Blue Cross Blue Shield and United range from $13 to $57, these amounts are often higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find paying the $107.00 cash price more cost-effective than relying on insurance, especially since the facility offers a prompt-pay discount that could further reduce the final amount. It is important to verify your specific plan's deductible status and ask the hospital directly about self-pay or prompt-pay discounts before scheduling to ensure you are not paying the full negotiated rate.
The facility's pricing is evaluated against the Medicare benchmark, which stands at $15.08 for this service, highlighting the significant markup inherent in commercial billing. Although the data does not provide specific state or county average comparisons for this exact procedure, the Medicare rate serves as a critical baseline for understanding the true cost of care versus the commercial charges. To avoid unexpected costs, patients should request an itemized bill to review every line item and ensure no unbundled codes or services not rendered are included. If a balance bill arises from an out-of-network ancillary service, the No Surprises Act may protect you from paying the difference, so disputing such bills with your insurer is a recommended step before making a payment.