Blood test, vitamin B12
Facility: Hospital District #6 Patterson Health Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $72
- Cash Discount Price: $64
- vs. Medicare Baseline: 4.77x 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 477% of the Medicare baseline (a markup of 377%). 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 | $54 - $57 | 358% |
| UnitedHealthcare | $72 - $80 | 477% |
| Providers Care (Wppa)-All Plans | $140 | 928% |
Consumer Guidance & Cost Commentary
For the CPT code 82607 (Blood test, vitamin B12) at Hospital District #6 Patterson Health Center in Anthony, KS, the facility's negotiated rates range from $54 to $80 depending on the insurance plan. This facility, a Critical Access Hospital owned by the government, has a median negotiated rate of $72.00, which is slightly higher than the state average of $72.00. The Medicare benchmark for this service is $15.08, indicating that the facility's negotiated rates are approximately 4.8 times the Medicare amount. While commercial insurance contracts cap charges at these negotiated levels, patients with high-deductible plans may find the cash price of $64.00 more affordable than their insurance allowed amount, especially if the insurer's negotiated rate exceeds the cash price.
Patients should verify their specific plan's allowed amount before scheduling, as in-network status does not guarantee the lowest possible price, and some facilities charge significantly more than others for the same service. To potentially lower costs, individuals should ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront. It is also important to request a full itemized bill containing specific CPT codes rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled charges. Finally, if you receive a balance bill for out-of-network services at this in-network facility, you may be protected under the No Surprises Act, which prohibits providers from charging you the difference between their full rate and the insurance allowed amount for emergency