Blood test, vitamin B12
Facility: Kiowa County Memorial Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $112
- Cash Discount Price: $107
- vs. Medicare Baseline: 7.43x 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 743% of the Medicare baseline (a markup of 643%). 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 - $112 | 378% |
| UnitedHealthcare | $101 - $126 | 670% |
| Health Partners Of Ks-All Plans | $111 | 736% |
| Medica Prime Mcare Cost-All Plans | $112 | 743% |
| Aetna | $112 | 743% |
| Celtic Comml Exchange-All Other Plans | $112 | 743% |
| Humana | $112 | 743% |
| Medicaid / KanCare | $126 | 836% |
| Providrs Care/Wppa-All Plans | $189 | 1253% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Kiowa County Memorial Hospital in Greensburg, KS, the facility's cash median rate is $107.00, which is lower than the negotiated rates paid by most major insurers like UnitedHealthcare ($112.00) and Blue Cross Blue Shield ($57.00 to $112.00). While Medicaid/KanCare and the facility's government ownership suggest a public mission, patients with high-deductible plans may find paying the cash price of $107.00 directly more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. Because this is a Critical Access Hospital, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final bill by bypassing administrative claim processing fees.
It is important to understand that the gross charge of $126.00 represents the full list price before any discounts, and the Medicare benchmark of $15.08 serves as the objective baseline for fair pricing rather than the commercial rates. Although the data does not provide specific county or state average comparisons for this specific CPT code, the facility's cash rate remains a strong reference point against the higher negotiated amounts. If you receive a bill that includes charges for services not rendered, unbundled components, or unexpected ancillary services, you should request a full itemized audit before agreeing to pay, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute.