Blood test, vitamin B12
Facility: Mercy Hospital Columbus
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $70
- Cash Discount Price: $61
- vs. Medicare Baseline: 4.64x 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 464% of the Medicare baseline (a markup of 364%). 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 |
|---|---|---|
| Medicaid / KanCare | $13 - $68 | 86% |
| Humana | $13 - $89 | 86% |
| UnitedHealthcare | $14 - $78 | 93% |
| Blue Cross Blue Shield | $14 - $75 | 93% |
| Medicare (plans) | $16 - $71 | 106% |
| Health Systems Inc Contracted [320174] | $40 | 265% |
| Insurance System Inc Contracted [320465] | $40 | 265% |
| Administrative Payor Contracted [320005] | $42 | 279% |
| Mercy Hospice Okc [20252] | $68 | 451% |
| Halo Hcr Inc Hospice [20432] | $68 | 451% |
| Kindful Hospice Contracted [320434] | $68 | 451% |
| Halo Hcr Inc Hospice Contracted [320432] | $68 | 451% |
| Cigna | $68 | 451% |
| Globalhealth Contracted [320145] | $68 | 451% |
| Mercy Mgd Behavioral Health Contracted [320259] | $68 | 451% |
| Tricare | $68 | 451% |
| Kindful Hospice [20434] | $68 | 451% |
| Centurion Of Missouri [20459] | $68 | 451% |
| Ambetter / Centene | $68 | 451% |
| Provider Partners Health Plans Contracted [320450] | $68 | 451% |
| Cross Timbers Hospice [20098] | $68 | 451% |
| Indian Health Service Contracted [320198] | $68 | 451% |
| Cherokee Nation Health Serv Contracted [320066] | $68 | 451% |
| Aetna | $68 - $85 | 451% |
| Medical Associates Health Contracted [320444] | $68 | 451% |
| Qual Choice Contracted [320325] | $68 | 451% |
| Novasys Contracted [320285] | $68 | 451% |
| Pace Of The Ozarks Contracted [320518] | $68 | 451% |
| Dept Of Veteran Affairs Contracted [320106] | $68 | 451% |
| Home State Health Plan Contracted [320187] | $68 | 451% |
| Elara Caring Aspire Hospice [20433] | $68 | 451% |
| Healthscope Contracted [320182] | $72 | 477% |
| Workers Comp [20426] | $75 - $80 | 497% |
| United Medical Resources Contracted [320454] | $78 - $89 | 517% |
| Medica Contracted [320239] | $84 | 557% |
| First Health Contracted [320128] | $85 | 564% |
| Mercy Benefit Admin Contracted [320251] | $85 - $89 | 564% |
| American Healthcare Alliance Contracted [320020] | $85 | 564% |
| Usa Managed Care Org Contracted [320429] | $85 | 564% |
| Preferred Health Plan Contracted [320522] | $85 | 564% |
| Healthlink Contracted [320179] | $85 - $89 | 564% |
| Federal Medical Center Contracted [320127] | $85 | 564% |
| Imagine 360 Contracted [320494] | $89 | 590% |
| Aither Health Contracted [320449] | $89 | 590% |
| Private Health Care Systems Contracted [320320] | $89 | 590% |
| 90 Degree Benefits Contracted [320436] | $89 | 590% |
| Auxiant Contracted [320462] | $89 | 590% |
| Point C Contracted [320238] | $89 | 590% |
| Show-Me Health Administrators Contracted [320483] | $89 | 590% |
| Yuzu Health Contracted [320521] | $89 | 590% |
| Ebms Contracted [320493] | $89 | 590% |
| Edison Health Solutions Contracted [320502] | $89 | 590% |
| Reflect Health Contracted [320492] | $89 | 590% |
| Benefit Management Contracted [320052] | $89 | 590% |
| Ppo Plus Contracted [320310] | $89 | 590% |
Consumer Guidance & Cost Commentary
Mercy Hospital Columbus, located at 220 N Pennsylvania Avenue in Columbus, Kansas, provides a blood test for vitamin B12 with a cash median price of $61. This facility, a voluntary non-profit Critical Access Hospital, has a negotiated rate of $70, which is higher than the cash price. The Medicare benchmark for this procedure is $15.08, indicating that the facility's cash rate is significantly above the federal government's baseline reimbursement.
There are 55 distinct payers with negotiated rates ranging from a low of $13 to a high of $89. For instance, Medicaid / KanCare and several other contracted payers have rates as low as $13, while UnitedHealthcare and Humana negotiate up to $89 and $78 respectively. Because commercial negotiated rates often exceed cash prices, patients with high-deductible plans may find paying the $61 cash rate upfront to be more cost-effective than relying on insurance, especially if their plan's negotiated rate with a specific carrier is higher than the cash amount. Patients should verify their specific plan's allowed amount and ask the hospital about prompt-pay discounts or self-pay rates before scheduling to ensure they receive the most favorable pricing.