Blood test, vitamin B12
Facility: Republic County Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $86
- Cash Discount Price: $69
- vs. Medicare Baseline: 5.70x 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 570% of the Medicare baseline (a markup of 470%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $76 - $81 | 504% |
| Meritain-All Plans | $81 - $86 | 537% |
| Aetna | $81 - $86 | 537% |
| UnitedHealthcare | $83 - $87 | 550% |
| First Health-All Plans | $86 - $90 | 570% |
| Midlands Choice-All Plans | $86 - $90 | 570% |
| Cigna | $86 - $90 | 570% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, Republic County Hospital in Belleville, KS, lists a gross charge of $93.00. While the facility's cash median price is $69.00, which is lower than the gross charge, it is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures. In this case, the median negotiated rate across payers is $86.00, and the highest negotiated rate is $90.00, meaning patients with high-deductible plans might find paying the cash price of $69.00 more cost-effective than relying on insurance, provided they have not yet met their deductible.
When evaluating the cost relative to Medicare benchmarks, the facility's cash rate of $69.00 is 5.7% higher than the Medicare amount of $15.08 for this service. Although commercial rates typically average 200% to 300% of Medicare, the specific negotiated rates here range from $76.00 to $90.00 depending on the payer. Patients should verify their specific plan's allowed amount before scheduling, as in-network rates vary significantly by carrier. Additionally, asking the hospital about self-pay or prompt-pay discounts prior to check-in can help secure the lowest possible rate, as these upfront payment incentives often bypass the higher administrative fees associated with insurance billing.