Blood test, vitamin B12
Facility: Wilson Medical Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $60
- Cash Discount Price: $83
- vs. Medicare Baseline: 3.98x 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 398% of the Medicare baseline (a markup of 298%). 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 |
|---|---|---|
| Aetna | $5 - $113 | 33% |
| Tricare | $5 - $60 | 33% |
| Ambetter / Centene | $5 - $113 | 33% |
| Humana | $5 - $60 | 33% |
| UnitedHealthcare | $5 - $105 | 33% |
| Cigna | $8 - $90 | 53% |
| Mulitplan-All Plans | $9 - $104 | 60% |
| Health Partners-All Plans | $9 - $104 | 60% |
| Blue Cross Blue Shield | $10 - $113 | 66% |
Consumer Guidance & Cost Commentary
For the blood test for vitamin B12 at Wilson Medical Center in Neodesha, KS, the facility's cash median price is $83.00, which is higher than the state average of $60.00. While commercial insurance plans like Aetna and Ambetter / Centene have negotiated rates ranging from $5 to $113, these amounts often exceed the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated ceiling can sometimes be significantly higher than the self-pay amount. It is important to verify the specific allowed amount for your plan before scheduling, as in-network rates vary widely even within the same facility.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront. Additionally, since the facility is a Critical Access Hospital with government ownership, reviewing the itemized bill is essential to ensure no errors exist, as over 80% of hospital bills contain mistakes. When evaluating the facility's pricing, it is more accurate to compare rates against the Medicare benchmark of $15.08 per unit rather than the hospital's gross chargemaster of $110.00, as Medicare represents the true cost baseline for this service.