Blood test, vitamin B12
Facility: Kansas City Orthopaedic Institute
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $39
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.59x 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 259% of the Medicare baseline (a markup of 159%). 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 | 99% |
| Cigna | $15 | 99% |
| UnitedHealthcare | $15 | 99% |
| Blue Cross Blue Shield | $39 | 259% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, the Kansas City Orthopaedic Institute in Leawood, KS, has a median negotiated rate of $39.00. This rate is significantly higher than the state average of $15.08, which aligns with the Medicare benchmark for this service. While the facility is an Acute Care Hospital owned by a physician group, the data indicates no specific cash-pay or self-pay rates are currently listed. Patients should be aware that even though insurance contracts often cap costs, the negotiated rate can sometimes exceed the cash price; however, without a listed cash rate, there is no immediate evidence that paying out-of-pocket would result in lower costs for this specific procedure.
To ensure you are not overcharged, it is crucial to request a full itemized bill before finalizing payment, as summary bills can obscure individual line items and potential errors. If you receive a bill, you should verify that all services rendered are accurately coded and that no unbundled charges exist, as over 80% of hospital bills contain some form of error. Additionally, if you are self-paying, ask the billing department about "prompt-pay" discounts, which can reduce the total amount owed by 20% to 50% if paid in full upfront. Always confirm your plan's deductible status before scheduling, as paying the negotiated rate may not be covered if your deductible has not yet been met.