Blood test, vitamin B12
Facility: Kansas Heart Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $15
- Cash Discount Price: $34
- vs. Medicare Baseline: 0.99x 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 |
|---|---|---|
| Aetna | $8 | 53% |
| Tricare | $14 | 93% |
| Medicaid / KanCare | $15 | 99% |
| Celtic Mcr Adv | $15 | 99% |
| UnitedHealthcare | $15 | 99% |
| Humana | $15 | 99% |
| Wppa - All Plans | $21 | 139% |
| Blue Cross Blue Shield | $39 | 259% |
| Multiplan - All Plans | $48 | 318% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Kansas Heart Hospital in Wichita, KS, the cash median price is $34.00, which is lower than the facility's negotiated rate of $35.00. While the facility's cash price is competitive, it is important to note that commercial insurance plans often negotiate rates higher than the cash price due to administrative costs and contract structures. For patients with high-deductible plans, paying the cash price of $34.00 upfront may result in lower out-of-pocket costs compared to the insurance negotiated rate, provided the patient's deductible has not yet been met. Patients should verify their specific plan's allowed amount before scheduling to ensure they are not paying more than necessary.
The facility's pricing is benchmarked against the Medicare rate of $15.08, which serves as the objective baseline for evaluating hospital costs. The negotiated rate of $15.00 is slightly below the Medicare benchmark, indicating a fair pricing structure relative to federal standards. However, the gross charge of $53.00 represents the full list price before any discounts are applied. To maximize savings, patients should request an itemized bill to review specific CPT codes and avoid summary bills that obscure individual charges. Additionally, asking about prompt-pay discounts before check-in can reduce the final cost, as hospitals often offer fee reductions for upfront payments to bypass costly insurance billing cycles.