Blood test, vitamin B12
Facility: Hodgeman County Health Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $87
- Cash Discount Price: $98
- vs. Medicare Baseline: 5.77x 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 577% of the Medicare baseline (a markup of 477%). 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 | $55 - $57 | 365% |
| Medicaid / KanCare | $79 - $123 | 524% |
| UnitedHealthcare | $79 - $117 | 524% |
| Humana | $79 | 524% |
| Triwest - All Plans | $79 | 524% |
| Aetna | $98 | 650% |
| First Health - All Plans | $111 | 736% |
| Health Partners - All Plans | $117 | 776% |
| Wppa (Provdrscare) - All Plans | $117 | 776% |
Consumer Guidance & Cost Commentary
For the CPT code 82607 (Blood test, vitamin B12), Hodgeman County Health Center in Jetmore, KS, has a gross charge of $123.00. While the facility's cash median is $98.00 and the median negotiated rate across payers is $87.00, the Medicare benchmark for this service is significantly lower at $15.08. This indicates that the facility's pricing is approximately 5.8 times the Medicare rate. For patients with high-deductible plans, paying the cash price of $98.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates for major payers like Blue Cross Blue Shield ($55–$57) and Medicaid/KanCare ($79–$123) often exceed the cash amount. It is important to note that the cash price does not include any potential prompt-pay discounts, which could further reduce the final cost if paid in full within 30 days.
Patients should verify their specific plan details before scheduling, as insurance negotiated rates vary widely among the nine payers represented, ranging from a low of $55 to a high of $123. If you are using insurance, be aware that balance billing is generally prohibited for in-network services under the No Surprises Act, though unexpected charges can occur if ancillary services are out-of-network. To ensure you receive the most accurate pricing, request an itemized bill before payment and ask specifically about self-pay or prompt-pay discounts, which can offer a fee reduction of 20% to 50% for upfront payment. Always confirm your deductible status and request a