Blood test, vitamin B12
Facility: Menorah Medical Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $32
- Cash Discount Price: $464
- 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 - $371 | 53% |
| United | $14 - $209 | 93% |
| Aetna | $14 - $237 | 93% |
| Home State Health Plan | $14 | 93% |
| Amerigroup | $15 | 99% |
| Humana | $15 - $37 | 99% |
| Devoted Health | $15 | 99% |
| Celtic | $15 | 99% |
| Wellcare | $15 | 99% |
| Blue Cross Blue Shield | $15 - $209 | 99% |
| Coventry | $15 - $187 | 99% |
| Healthyblue | $15 | 99% |
| Pyramid Life | $16 | 106% |
| Triwest Health Alliance | $16 | 106% |
| Medicaid / KanCare | $16 | 106% |
| Unicare | $16 | 106% |
| Oscar | $23 | 153% |
| Multiplan | $27 - $344 | 179% |
| Corvel Corporation | $32 - $302 | 212% |
| Oha Network | $33 - $232 | 219% |
| Ambetter / Centene | $86 | 570% |
| Nhc Advantage | $88 | 584% |
| Wppa Providrs Care Network | $93 | 617% |
| Universal Healthcare | $162 | 1074% |
| Coventry Kc Mo | $190 | 1260% |
| College Park Family Care Center | $200 | 1326% |
| Focus Healthcare Mgmt, Inc | $348 | 2308% |
| Cco, Inc. | $348 | 2308% |
Consumer Guidance & Cost Commentary
For this vitamin B12 blood test at Menorah Medical Center in Overland Park, KS, the cash price is $464.00, which matches the facility's cash median. While the hospital's negotiated rates with insurance plans range from $8 to $348, these amounts are significantly higher than the Medicare benchmark of $15.08, reflecting the standard administrative markup inherent in commercial contracts. Because the cash price is lower than most negotiated rates, patients with high-deductible plans or those without insurance may save money by paying out-of-pocket, provided they verify that their specific plan does not require them to meet a deductible first. It is also worth noting that while the facility is an in-network provider for many plans, the No Surprises Act protects patients from balance billing for out-of-network services at this location, though patients should still review their specific plan details to confirm coverage limits.
To ensure you receive the most accurate pricing, we recommend requesting a full itemized bill before finalizing payment, as summary invoices can sometimes obscure individual charges or unbundled services. If you choose to pay directly, ask the billing department about prompt-pay discounts, which can reduce the $464.00 cash price by 20% to 50% if settled upfront. Additionally, since the facility is located in Johnson County, you may want to compare this rate against local county averages to confirm it aligns with regional pricing standards. Always confirm whether your insurance plan has met its annual deductible before scheduling, as paying the negotiated rate without meeting this threshold could result in higher out-of-pocket costs than the cash option.