Blood test, vitamin B12
Facility: Osborne County Memorial Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $74
- Cash Discount Price: $69
- vs. Medicare Baseline: 4.91x 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 491% of the Medicare baseline (a markup of 391%). 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 |
|---|---|---|
| UnitedHealthcare | $62 | 411% |
| Health Partners Of Kansas | $70 | 464% |
| Wppa | $77 | 511% |
| Blue Cross Blue Shield | $79 | 524% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, Osborne County Memorial Hospital in Osborne, KS, lists a cash median price of $69.00. This cash rate is notably lower than the facility's negotiated rates, which range from $62.00 to $79.00 depending on the specific insurance carrier. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that cash payments can sometimes be more cost-effective than using insurance, particularly if the patient's plan has a high deductible or if the insurance negotiated rate exceeds the cash price. To ensure you are receiving the best possible rate, it is advisable to ask the billing department directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
When evaluating the cost of this service, it is important to compare the facility's pricing against the Medicare benchmark rather than the hospital's gross charges. The Medicare amount for this procedure is $15.08, and the facility's cash rate of $69.00 represents a 4.9x markup relative to this federal baseline. This comparison highlights that commercial rates often include significant administrative overhead and profit margins beyond the true cost of care. If you receive a summary bill that obscures individual line items, you should request a full itemized audit to verify that no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute.