Blood test, vitamin B12
Facility: Kearny County Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $150
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 9.95x 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 995% of the Medicare baseline (a markup of 895%). 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 | $150 | 995% |
| Wps Gha - Mac J5 Part A | $150 | 995% |
| Kansas Solutions | $150 | 995% |
| Community Care Health Plan Of | $150 | 995% |
| Blue Cross Blue Shield | $150 | 995% |
| Aetna | $150 | 995% |
| Humana | $150 | 995% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Kearny County Hospital in Lakin, KS, the negotiated rate is $150.00, which is identical to the facility's gross charge and the median negotiated rate across all payers. This service is provided by a Critical Access Hospital owned by the local government, and while the facility does not have a specific cash or median paid rate listed in this report, patients should be aware that cash-pay options can sometimes be more affordable than insurance negotiated rates, particularly for those with high-deductible plans. Since the negotiated rate matches the gross charge, it is important to verify if a "self-pay" or "prompt-pay" discount is available before scheduling, as these upfront payment incentives can significantly reduce the final cost by bypassing administrative billing cycles.
The Medicare benchmark for this procedure is $15.08, which serves as the objective baseline for evaluating pricing markups. The commercial negotiated rate of $150.00 represents a significant markup compared to the federal government's calculated cost basis, illustrating the difference between the true cost of care and the price paid by commercial insurers. While the data does not provide specific county or state average comparisons for this exact code, understanding that commercial rates often exceed Medicare benchmarks by a wide margin helps patients recognize the value of negotiating directly with the hospital. To ensure you are receiving the best possible price, we recommend requesting an itemized billing audit to confirm all charges are accurate and asking about any potential prompt-pay discounts before your visit.