Blood test, vitamin B12
Facility: Logan County Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $96
- Cash Discount Price: $28
- vs. Medicare Baseline: 6.37x 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 637% of the Medicare baseline (a markup of 537%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $57 | 378% |
| Humana | $59 | 391% |
| Health Partners - All Plans | $133 | 882% |
| Medicaid / KanCare | $140 | 928% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, Logan County Hospital in Oakley, KS, has a cash median price of $28.00, which is significantly lower than the negotiated rates of $57.00 to $140.00 charged by major payers like Blue Cross Blue Shield, Humana, and Medicaid/KanCare. While the facility is a Critical Access Hospital with government-local ownership, patients with high-deductible plans or those without insurance may find the cash price more affordable than their insurance allowed amounts, as the negotiated rates often exceed the cash rate by a substantial margin. It is important to note that while the facility offers a cash median of $28.00, patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can further reduce the final cost.
The Medicare benchmark for this service is $15.08, which serves as the objective baseline for evaluating pricing fairness, as commercial rates are frequently marked up significantly above this federal cost basis. In this instance, the cash price of $28.00 is roughly 1.8 times the Medicare rate, whereas the negotiated rates for in-network plans range from 3.7 to 8.6 times the Medicare amount. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, meaning they should not pay unexpected differences between the allowed amount and the full chargemaster rate. If a patient receives a bill that appears to include balance billing or errors, they should request a formal itemized audit