Blood test, vitamin B12
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $15
- Cash Discount Price: $105
- 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 | $15 - $19 | 99% |
| UnitedHealthcare | $15 - $18 | 99% |
| Providrs Care Network | $15 | 99% |
| United Mine Workers Of America | $15 | 99% |
| Blue Cross Blue Shield | $15 | 99% |
| Humana | $15 | 99% |
| Lantern Specialty Care | $24 | 159% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, Kansas Spine & Specialty Hospital, Llc lists a cash median price of $105.00, which is significantly lower than the facility's gross charge of $161.00. While the facility does not provide a specific median paid amount for insurance plans, the negotiated rate across payers averages $15.00, a figure that aligns closely with the Medicare benchmark of $15.08. This suggests that for patients with high-deductible plans, paying the cash price of $105.00 upfront may be more cost-effective than relying on insurance, as the negotiated rate does not appear to offer a substantial discount over the cash option. Patients should verify if their specific plan has a deductible or copay that exceeds the cash price before scheduling, and they should explicitly request a "self-pay" or "prompt-pay" discount prior to check-in to ensure they receive the lowest possible rate.
The facility is located in Wichita, KS, and serves seven different payers, including major carriers such as Aetna, UnitedHealthcare, and Blue Cross Blue Shield. Although the data does not include state or county average comparisons for this specific code, the facility's ownership structure is listed as Physician-owned, which can sometimes influence pricing dynamics compared to larger hospital systems. To avoid unexpected costs, consumers should request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, if a patient receives care from out-of-network providers at this facility, they may be subject to