Blood test, vitamin B12
Facility: Kiowa District Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $85
- Cash Discount Price: $77
- vs. Medicare Baseline: 5.64x 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 564% of the Medicare baseline (a markup of 464%). 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 |
|---|---|---|
| Healthchoice-All Plans | $23 | 153% |
| Tricare | $31 - $44 | 206% |
| Blue Cross Blue Shield | $57 | 378% |
| UnitedHealthcare | $64 - $112 | 424% |
| Health Partners Of Ks-All Plans | $70 - $99 | 464% |
| Humana | $72 - $101 | 477% |
| Gbs Insurance - All Plans | $75 - $105 | 497% |
| Multiplan-All Plans | $75 - $105 | 497% |
| Medicare (plans) | $76 - $106 | 504% |
| Aetna | $76 - $106 | 504% |
| Triwest-All Plans | $76 - $106 | 504% |
| Medicaid / KanCare | $80 - $112 | 531% |
| Providers Care (Wppa)-All Plans | $120 - $168 | 796% |
| Liberty Healthshare-All Plans | $129 - $181 | 855% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, Kiowa District Hospital in Kiowa, KS, has a gross charge of $96.00. The facility's cash median rate is $77.00, which is lower than the negotiated rates paid by most insurance payers, ranging from $23.00 for Healthchoice-All Plans up to $181.00 for Liberty Healthshare-All Plans. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients with high-deductible plans may find the cash price more affordable than their insurance allowed amounts, which average significantly higher than the cash rate. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan's allowed amount before scheduling to ensure they are not facing unexpected costs.
To minimize medical debt, consumers should request an itemized billing audit before paying any invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, patients should inquire about prompt-pay discounts, which can reduce the bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing. Although the data does not provide specific county or state average comparisons for this service, understanding that the facility's cash rate is below the highest negotiated rates allows patients to make informed decisions about whether to pay out-of-pocket or utilize their insurance coverage. Always confirm the facility's self-pay or prompt-pay rates prior to check-in to secure the most favorable price.