Blood test, vitamin B12
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $80
- Cash Discount Price: $27
- vs. Medicare Baseline: 5.31x 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 531% of the Medicare baseline (a markup of 431%). 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 |
|---|---|---|
| Alt Wppa [5032000964] | $56 | 371% |
| Meritain Health [503200039] | $56 - $80 | 371% |
| Wppa [503200056] | $56 | 371% |
| Alt Carelon Behavioral Health [503200905] | $67 | 444% |
| Allied National [503999937] | $80 | 531% |
| National Assn Letter Carriers [503200019] | $80 | 531% |
| Cigna | $80 - $107 | 531% |
| First Health [5032000110] | $80 | 531% |
| Php [503200005] | $80 | 531% |
| Aetna | $80 | 531% |
| Aha-Healthcare Preferred [503200050] | $80 | 531% |
| Alt Meritain Health [503999911] | $80 | 531% |
| Correct Care Solutions [50311253] | $94 | 623% |
| Workers Comp [503999901] | $114 | 756% |
| Usa Managed Care [503999030] | $121 | 802% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at the University of KS Health System Great Bend Campus, the facility's cash price of $27.00 is significantly lower than the average negotiated rates paid by insurance companies, which range from $56 to $121 depending on the plan. While the facility's cash rate is also well below the state average for this service, patients with high-deductible plans should be aware that paying out-of-pocket might be more cost-effective than using insurance, as the negotiated rates often exceed the cash price. To maximize savings, patients should explicitly ask the billing department about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can further reduce the final amount owed.
It is important to note that while the No Surprises Act protects patients from balance billing for emergency services at in-network facilities, unexpected charges can still occur if ancillary services like specific lab tests are billed by out-of-network providers. If you receive a bill that seems inconsistent with the data above, you should request a full itemized audit to verify that no unbundled codes or services not rendered have been included. Comparing your specific situation to the Medicare benchmark of $15.08 reveals that the facility's cash rate is already competitive, but commercial insurance contracts often result in higher out-of-pocket costs due to administrative fees and contract structures that add 20% to 40% to the base cost.