Blood test, vitamin B12
Facility: Cheyenne County Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $91
- Cash Discount Price: $95
- vs. Medicare Baseline: 6.03x 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 603% of the Medicare baseline (a markup of 503%). 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 |
|---|---|---|
| UnitedHealthcare | $14 - $95 | 93% |
| Blue Cross Blue Shield | $57 | 378% |
| First Health - All Plans | $67 | 444% |
| Aetna | $69 - $91 | 458% |
| Choice Care - All Plans | $69 | 458% |
| Tricare | $69 | 458% |
| Healthy Blue Mcr Adv | $69 | 458% |
| Firstguard - All Plans | $76 | 504% |
| Wppa - All Plans | $86 | 570% |
| Cpm - All Plans | $91 | 603% |
| Preferred Hc - All Plans | $91 | 603% |
| Midlands Choice - All Plans | $93 | 617% |
| Integrated Hp - All Plans | $94 | 623% |
| Ppo Next - All Plans | $94 | 623% |
| Health Partners - All Plans | $94 | 623% |
| Unicare - All Plans | $94 | 623% |
| Healthwave Mcaid - All Plans | $95 | 630% |
| Healthy Blue Mcaid - All Other Plans | $95 | 630% |
| Childrens Mercy - All Plans | $95 | 630% |
| Providers Care-All Plans | $143 | 948% |
Consumer Guidance & Cost Commentary
For the CPT code 82607 (Blood test, vitamin B12) at Cheyenne County Hospital, the cash median price is $95.00, which matches the facility's gross charge. This rate is significantly lower than the state average, as the negotiated rates across various payers range from $14 to $143, with a median negotiated amount of $91.00. While the cash price appears competitive, patients with high-deductible plans should note that insurance negotiated rates can sometimes exceed the cash price; for instance, UnitedHealthcare has a low-end negotiated rate of $14, but other payers like Providers Care-All Plans have a fixed rate of $143. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as paying upfront can sometimes result in a lower total cost than what insurance would allow.
When reviewing your bill, be aware that commercial insurance rates often include administrative overhead and do not reflect the true cost of care, which is better represented by the Medicare benchmark of $15.08. Although the facility's cash rate is higher than the Medicare amount, it remains well below the maximum negotiated rates seen with some payers, such as Providers Care-All Plans. If you receive a bill that includes charges for services not rendered, unbundled codes, or items that were cancelled, you should request a full itemized audit before making any payments, as over 80% of hospital bills contain errors. Additionally, if you are out-of-network, the No Surprises Act may protect you from balance billing for emergency care or non-emergency services at in