Blood test, vitamin B12
Facility: Cloud County Health Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $151
- Cash Discount Price: $111
- vs. Medicare Baseline: 10.01x 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 1001% of the Medicare baseline (a markup of 901%). 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 | $143 - $147 | 948% |
| Mpi-All Plans | $151 | 1001% |
| Health Partners - All Plans | $151 | 1001% |
| Pponext-All Plans | $151 | 1001% |
Consumer Guidance & Cost Commentary
This blood test for vitamin B12 at Cloud County Health Center in Concordia, KS, has a cash median price of $111.00, which is lower than the facility's negotiated rate of $151.00 paid by most major payers. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds this amount. To secure the lowest possible cost, it is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the bill before any insurance claim is processed.
The Medicare benchmark for this service is $15.08, indicating that the facility's cash rate is significantly higher than the federal baseline but remains below the commercial negotiated rates observed across the four participating payers. Although the data does not provide specific state or county average comparisons for this exact code, the disparity between the cash price and the insurer-paid rate highlights the importance of verifying your specific plan's allowed amount before scheduling. Consumers should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is still prudent to request an itemized bill to ensure no unbundled charges or services not rendered are included in the final invoice.