Blood test, vitamin B12
Facility: Stafford County Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $101
- Cash Discount Price: $106
- vs. Medicare Baseline: 6.70x 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 670% of the Medicare baseline (a markup of 570%). 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 |
|---|---|---|
| Va Ccn-All Plans | $16 | 106% |
| UnitedHealthcare | $16 | 106% |
| Health Partners-All Plans | $101 | 670% |
| Medica Mcr- All Plans | $106 | 703% |
| Humana | $106 | 703% |
Consumer Guidance & Cost Commentary
For the CPT code 82607 (Blood test, vitamin B12) at Stafford County Hospital in Stafford, KS, the facility's cash and median negotiated rates are both $106.00, which is 6.7% higher than the Medicare benchmark of $15.08. While the facility is a Critical Access Hospital with government-local ownership, the data indicates that the negotiated rates for this specific service align with the cash price, meaning patients with high-deductible plans may find paying out-of-pocket directly to the hospital the most cost-effective option, as the insurance negotiated rate does not exceed the cash price in this instance.
It is important to verify your specific plan's allowed amount before scheduling, as commercial rates can vary significantly even within the same network. Although the data shows a single negotiated rate of $101.00 across all five payers listed, patients should still confirm their deductible status and whether their plan requires them to pay the full negotiated amount before services are rendered. Additionally, since the facility offers prompt-pay discounts to patients who pay upfront, you should explicitly request a self-pay classification and ask about potential fee reductions before check-in to ensure you are not inadvertently triggering an automatic claim submission that voids any cash savings.