Blood test, vitamin B12
Facility: Minneola District Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $50
- Cash Discount Price: $40
- vs. Medicare Baseline: 3.32x 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 332% of the Medicare baseline (a markup of 232%). 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 |
|---|---|---|
| Va Community Care Program-All Plans | $10 - $50 | 66% |
| UnitedHealthcare | $10 - $75 | 66% |
| Humana | $10 - $50 | 66% |
| Providrs Care Network-All Plans | $13 - $64 | 86% |
| Corporate Plan Management-All Plans | $13 - $64 | 86% |
| Aetna | $14 - $75 | 93% |
| Phc (Coventry) Leased Network | $14 - $71 | 93% |
| Health Partners Of Kansas-All Plans | $14 - $71 | 93% |
| Triwest-All Plans | $14 - $68 | 93% |
| Preferred Health Care (Coventry)-All Other Plans | $14 - $68 | 93% |
| Medicaid / KanCare | $15 - $75 | 99% |
| Blue Cross Blue Shield | $57 | 378% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, Minneola District Hospital in Kansas has a cash median price of $40.00, which is lower than the facility's negotiated median paid rate of $50.00. While the facility is a Critical Access Hospital with government ownership, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, UnitedHealthcare and Aetna have negotiated ranges starting at $14.00 and $14.00 respectively, which can be higher than the cash option for patients with high-deductible plans. To minimize costs, consumers should verify their specific plan's allowed amount and consider paying the cash price directly, as this bypasses the multi-layered billing cycle that inflates commercial rates.
When reviewing your bill, it is crucial to request an itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you receive a bill, you should compare the total charged against the Medicare benchmark of $15.08 for this procedure; commercial rates are often marked up significantly above this federal baseline. Additionally, if you are an out-of-network patient, the No Surprises Act may protect you from balance billing for emergency services or non-emergency care at in-network facilities. Always check with the hospital for prompt-pay discounts, which can reduce the final amount by 20% to 50% if paid upfront, and ensure you have a written record of any dispute regarding billing errors before making a payment.