Blood test, vitamin B12
Facility: Goodland Regional Medical Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $106
- Cash Discount Price: $106
- vs. Medicare Baseline: 7.03x 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 703% of the Medicare baseline (a markup of 603%). 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 | $57 | 378% |
| Wppa | $100 - $106 | 663% |
| UnitedHealthcare | $106 | 703% |
Consumer Guidance & Cost Commentary
For the CPT code 82607 (Blood test, vitamin B12) at Goodland Regional Medical Center in Goodland, KS, the cash median price is $106.00, which is notably lower than the facility's gross charge of $118.00. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance negotiated rates can sometimes exceed cash prices due to administrative overheads. For instance, Wppa and UnitedHealthcare have negotiated rates ranging from $100 to $106, which align closely with the cash median, whereas Blue Cross Blue Shield's rate is $57. If you have a high-deductible plan where you haven't yet met your deductible, paying the cash price of $106.00 upfront could result in immediate savings compared to the insurance negotiated rate, provided you confirm with the hospital that they will not bill your insurer for the difference.
It is important to distinguish between the facility's gross charges and the actual amounts paid by insurers to avoid balance billing surprises. Although the No Surprises Act generally protects patients from out-of-network balance billing at in-network facilities, patients should still request a detailed, itemized bill to ensure no unbundled codes or services not rendered are included. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed. Always verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible may not be the most cost-effective option compared to the cash price.