Blood test, vitamin B12
Facility: Greeley County Health Services
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $15
- Cash Discount Price: $75
- vs. Medicare Baseline: 0.99x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $15 | 99% |
| Aetna | $15 | 99% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Greeley County Health Services in Tribune, Kansas, the facility's cash median rate is $75.00, which is significantly lower than the negotiated rates of $15.00 for both Medicaid/KanCare and Aetna. This price transparency report highlights that while commercial insurance contracts often set a ceiling on what insurers pay, the cash price can sometimes be the most affordable option for patients with high-deductible plans or those without coverage, as the insurance negotiated rate here exceeds the cash price. Since this facility is a Critical Access Hospital with government local ownership, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling, as paying upfront can often bypass administrative fees and result in immediate savings compared to the standard billing cycle.
It is important to understand that the $15.08 Medicare amount serves as a benchmark for the true cost of this service, rather than the hospital's inflated chargemaster list price. While the data shows a ratio of 1.0 versus Medicare, patients should be aware that commercial rates frequently include administrative overhead that can inflate the baseline price by 20% to 40% above the actual cost of care. If you receive a bill that appears higher than expected, you have the right to request a detailed, itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies. Furthermore, if you are concerned about balance billing from out-of-network providers, the No Surprises Act protects you from being charged the difference between the provider's full rate and your insurance allowed amount for emergency care and non-emergency services