Blood test, vitamin B12
Facility: St Luke Hospital & Living Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $57
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.78x 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 378% of the Medicare baseline (a markup of 278%). 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 |
|---|---|---|
| Kansas Department Of Health And Environment | $57 | 378% |
| Bluestem Pace | $57 | 378% |
| Ambetter / Centene | $57 - $58 | 378% |
| Humana | $57 | 378% |
| Blue Cross Blue Shield | $57 | 378% |
| UnitedHealthcare | $57 | 378% |
| Va Ccn | $57 | 378% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, St. Luke Hospital & Living Center in Marion, KS, has a gross charge of $112.00. This facility, a Critical Access Hospital owned by a Government Hospital District, has negotiated rates ranging from $57.00 to $58.00 across seven major payers, including Blue Cross Blue Shield and Humana. These negotiated amounts are significantly lower than the facility's gross charge, reflecting standard insurance contract caps. However, the cash median and median paid values are not available in the current data, so patients should inquire directly with the billing department about self-pay or prompt-pay discounts, which can sometimes result in a lower total cost than the insurance negotiated rate.
When evaluating the cost of this service, it is important to compare the facility's rates against the Medicare benchmark. The Medicare amount for this procedure is $15.08, and the facility's gross charge is 3.8 times higher than this federal baseline. While the specific county or state average for this code is not provided in the dataset, the significant markup over the Medicare rate highlights the importance of understanding the difference between the hospital's list price and the actual amount your insurance will allow. To ensure you are receiving the best possible price, you should request an itemized bill to verify all charges and ask specifically about prompt-pay discounts before scheduling your visit, as these upfront incentives can bypass standard administrative fees and reduce your final out-of-pocket expense.