Blood test, vitamin B12
Facility: Greenwood County Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $54
- Cash Discount Price: $50
- vs. Medicare Baseline: 3.58x 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 358% of the Medicare baseline (a markup of 258%). 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 |
|---|---|---|
| UnitedHealthcare | $10 - $53 | 66% |
| Triwest - All Plans | $22 | 146% |
| Choicecare Mcr Adv - All Plans | $26 | 172% |
| Tricare | $26 | 172% |
| Integrated Health Plan - All Plans | $47 | 312% |
| First Health Ccn Network | $54 | 358% |
| First Health - All Other Plans | $54 | 358% |
| Beech Street - All Plans | $54 | 358% |
| Blue Cross Blue Shield | $54 - $57 | 358% |
| Preferred Hs (Coventry) - All Plans | $57 | 378% |
| Principal Health Care Inc - All Plans | $60 | 398% |
| Medicaid / KanCare | $63 | 418% |
| Amerigroup Mcaid-All Plans | $63 | 418% |
| Providrs Care/Wppa - All Plans | $94 | 623% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Greenwood County Hospital in Eureka, Kansas, the facility's cash price is $50.00, which is lower than the state average of $53.00. While many insurance plans negotiate rates ranging from $10 to $94, patients with high-deductible plans may find paying the cash price directly more affordable if their insurance negotiated rate exceeds $50.00. It is important to note that commercial negotiated rates often include administrative overhead and can be significantly higher than the cash price, so verifying your specific plan's allowed amount before scheduling is essential to avoid unexpected costs.
Although the facility is a Critical Access Hospital owned by the local government, patients should be aware of billing principles that protect them from surprise charges. Under federal protections like the No Surprises Act, balance billing for emergency care or non-emergency services from out-of-network providers at in-network facilities is generally prohibited, though patients should still request an itemized bill to ensure no unbundled codes or services not rendered are included. If you choose to pay out-of-pocket, ask the hospital about prompt-pay discounts, which can reduce the $50.00 cash price further, and always dispute any summary bills that do not show detailed line items before making a payment.