Blood test, vitamin B12
Facility: Kansas Medical Center Llc
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $15
- Cash Discount Price: $69
- 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 |
|---|---|---|
| United | $9 | 60% |
| Indian Health | $14 | 93% |
| Medadv_Wellcare | $15 | 99% |
| Blue Cross Blue Shield | $15 - $34 | 99% |
| Ambetter / Centene | $15 | 99% |
| Medicaid / KanCare | $15 | 99% |
| Humana | $15 | 99% |
| Three_Rivers | $30 | 199% |
| Wppa | $40 - $52 | 265% |
| Aetna | $48 | 318% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, Kansas Medical Center Llc in Andover, KS lists a gross charge of $115.00. The facility's cash median price is $69.00, which is lower than the state average of $78.00. While the facility offers a negotiated rate of $15.00, this amount is significantly higher than the Medicare benchmark of $15.08. For patients with high-deductible plans, paying the cash price of $69.00 upfront may be more cost-effective than relying on insurance, as the negotiated rate exceeds the cash amount. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final bill.
The facility operates as an acute care hospital with a proprietary ownership structure and is located in zip code 67002. Ten different payers, including United, Indian Health, and Medicaid/KanCare, have submitted data for this service, with negotiated rates ranging from $9.00 to $52.00 depending on the plan. Because insurance billing involves administrative overhead and contract dynamics, the negotiated rates often include a markup that exceeds the true cost of care. Patients should be aware that balance billing is generally prohibited for in-network services under the No Surprises Act, but it is crucial to verify network status before scheduling. To ensure accuracy, consumers should request a detailed, itemized bill to review specific CPT codes and avoid paying for services that were not rendered or that were incorrectly bundled.