Blood test, vitamin B12
Facility: Stanton County Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $120
- Cash Discount Price: $102
- vs. Medicare Baseline: 7.96x 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 796% of the Medicare baseline (a markup of 696%). 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 | $55 - $230 | 365% |
| Healthy Blue Mcr Adv - All Other Plans | $118 - $238 | 782% |
| Healthy Blue Mcaid | $121 - $207 | 802% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Stanton County Hospital in Johnson, KS, the cash price is $102.00, which matches the facility's median negotiated rate. While the facility is a Critical Access Hospital owned by the local government, the data shows no specific county or state average for this procedure to compare against. It is important to note that for patients with high-deductible plans, paying the cash price of $102.00 upfront can sometimes be more cost-effective than relying on insurance, especially if the insurer's negotiated rate exceeds the cash price. Before scheduling, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
Regarding billing protections, patients should be aware that while the No Surprises Act bans balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services like lab tests are billed separately. If a patient receives a bill that seems higher than expected, they should request a full itemized audit to verify that no services were double-billed or unbundled. Furthermore, when comparing rates, patients should focus on the Medicare amount of $15.08 as the true cost baseline rather than the facility's gross charge of $102.00, as commercial rates often include administrative markups that do not reflect the actual cost of care.