Blood test, vitamin B12
Facility: Lindsborg Community Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $145
- Cash Discount Price: $111
- vs. Medicare Baseline: 9.62x 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 962% of the Medicare baseline (a markup of 862%). 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 | $57 | 378% |
| Tricare | $74 | 491% |
| Coventry Mcr Adv | $75 | 497% |
| Cigna | $135 | 895% |
| UnitedHealthcare | $143 | 948% |
| Coventry Comm-All Other Plans | $143 | 948% |
| Phcs Preferred-All Plans | $147 | 975% |
| Multiplan-All Plans | $147 | 975% |
| Health Partners -All Plans | $151 | 1001% |
| Century Health-All Plans | $151 | 1001% |
| Wppa-All Plans | $151 | 1001% |
| Coventry Wc | $151 | 1001% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, Lindsborg Community Hospital in Kansas lists a gross charge of $159.00. While the facility's cash median rate is $111.00, commercial payers negotiate rates ranging from $57.00 to $151.00 depending on the specific insurance plan. It is important to note that for patients with high-deductible plans, paying the cash price of $111.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates for many in-network plans exceed the cash amount. Additionally, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative claim processing fees.
This service is billed at a rate that is 9.6% higher than the Medicare benchmark of $15.08, reflecting the standard markup structure for commercial billing. Although the data does not provide specific county or state average comparisons for this particular procedure, the facility's negotiated rates generally align with the median paid amount of $147.00 across the twelve identified payers. To ensure you are receiving the most accurate pricing, it is recommended to request an itemized bill before payment to avoid summary bills that may obscure individual costs, and to confirm your deductible status to understand exactly what your insurance will cover versus what you may need to pay out of pocket.