Blood test, vitamin B12
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $60
- Cash Discount Price: $76
- vs. Medicare Baseline: 3.98x 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 398% of the Medicare baseline (a markup of 298%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $20 | 133% |
| UnitedHealthcare | $24 - $84 | 159% |
| Berkley Net-All Plans | $34 | 225% |
| Aetna | $37 - $57 | 245% |
| Trustmark Health Benefits-All Plans | $37 | 245% |
| Meritain Health-All Plans | $38 | 252% |
| Ambetter / Centene | $40 | 265% |
| Axa Equitable - All Plans | $46 | 305% |
| Pinnacol-All Plans | $47 | 312% |
| Medi-Share-All Plans | $48 | 318% |
| Presbyterian-All Plans | $51 | 338% |
| Kasb Work Comp - All Plans | $54 | 358% |
| The Kempton Group Admin-All Plans | $58 | 385% |
| Gpha(Wppa)-All Other Plans | $59 | 391% |
| Auxiant - All Plans | $59 | 391% |
| Wppa- All Plans | $60 | 398% |
| Sisco-All Plans | $60 | 398% |
| Providers Care Network- All Plans | $60 | 398% |
| Emc-All Plans | $60 | 398% |
| Gpha Employee Benefit Plan | $61 | 405% |
| Regional Care(Wppa)-All Plans | $63 | 418% |
| Employee Benefit-All Plans | $63 | 418% |
| First Health -All Plans | $64 | 424% |
| Triangle-All Plans | $64 | 424% |
| One Call Physician-All Plans | $65 | 431% |
| Blue Cross Blue Shield | $66 | 438% |
| Christian Hospital Aid - All Plans | $67 | 444% |
| Tricare | $67 | 444% |
| Humana | $72 | 477% |
| Luminare Health- All Plans | $74 | 491% |
| Cigna | $74 | 491% |
| Deseret Mutual(Uhis)-All Plans | $76 | 504% |
| Coresource-All Plans | $76 | 504% |
| Vaccn-All Plans | $77 | 511% |
| Wps Vapc-All Plans | $80 | 531% |
| Hma Llc-All Plans | $80 | 531% |
| Reserve National-All Plans | $80 | 531% |
| Medicaid / KanCare | $84 | 557% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Satanta District Hospital, the cash price is $76.00, which is lower than the facility's negotiated rates with most insurance plans. While the facility's cash median of $76.00 is slightly higher than the state average of $74.00, patients with high-deductible plans may find paying cash directly more cost-effective than using insurance, as many commercial payers negotiate rates that exceed the cash price. For instance, UnitedHealthcare plans negotiate up to $84.00, while Aetna plans can reach $57.00, meaning the cash option could save money for those who do not have insurance or have already met their deductible.
To ensure you receive the best possible rate, it is recommended to ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these upfront payment incentives can significantly reduce the final bill. Additionally, if you are using insurance, be aware that the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, and you should always request a full itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included.