Blood test, vitamin B12
Facility: Ashland Health Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $85
- Cash Discount Price: $77
- vs. Medicare Baseline: 5.64x 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 564% of the Medicare baseline (a markup of 464%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $27 - $37 | 179% |
| Compalliance-All Plans | $66 - $88 | 438% |
| Health Partners Of Kansas-All Plans | $70 - $94 | 464% |
| Multiplan-All Plans | $80 - $108 | 531% |
| Healthy Blue Mcr Adv - All Other Plans | $82 - $110 | 544% |
| Medicaid / KanCare | $82 - $110 | 544% |
| Aetna | $82 - $110 | 544% |
| Health Choice-All Plans | $82 - $110 | 544% |
| Medicare (plans) | $82 - $110 | 544% |
| Medica Mcare - All Plans | $82 - $110 | 544% |
| UnitedHealthcare | $82 - $110 | 544% |
| Providers Care (Wppa)-All Plans | $123 - $165 | 816% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Ashland Health Center in Ashland, KS, the facility's cash price of $77.00 is lower than the state average of $82.00, making it a cost-effective option for patients paying out-of-pocket. While many commercial payers have negotiated rates ranging from $82.00 to $110.00, these amounts often exceed the cash price, which can be advantageous for those with high-deductible plans who may not yet have met their coverage thresholds. It is important to note that while the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing administrative claim processing fees.
The facility's negotiated rates for this service are significantly higher than the Medicare benchmark of $15.08, with most commercial plans paying between $82.00 and $165.00 depending on the specific plan. This disparity highlights that commercial rates often include administrative costs and contract premiums that are not reflected in the federal cost baseline. If you are using insurance, be aware that while the facility is in-network for most major carriers, the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, though you should still verify your specific plan's allowed amount to avoid unexpected costs. Always request an itemized bill to ensure all charges are accurate and to identify any potential errors before finalizing payment.