Blood test, vitamin B12
Facility: Mitchell County Hospital Health Systems
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $127
- Cash Discount Price: $124
- vs. Medicare Baseline: 8.42x 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 842% of the Medicare baseline (a markup of 742%). 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 | $15 - $141 | 99% |
| Blue Cross Blue Shield | $57 | 378% |
| Triwest Well Mark All Plans | $114 - $120 | 756% |
| Pref Hlth Care Sytms Comm - All Plans | $121 - $127 | 802% |
| First Health-All Plans | $121 - $127 | 802% |
| Aetna | $121 - $127 | 802% |
| Multiplan Ppo - All Plans | $127 - $134 | 842% |
| Phc Leased Ntwrk Access - All Plans | $127 - $134 | 842% |
| Auxiant-All Plans | $127 - $134 | 842% |
| Health Partners Ks-All Plans | $133 - $140 | 882% |
| Cigna | $133 - $140 | 882% |
Consumer Guidance & Cost Commentary
For this blood test for vitamin B12 at Mitchell County Hospital Health Systems in Beloit, KS, the facility's cash price of $124.00 is lower than the state average and the negotiated rates paid by most major insurers, which range from $127.00 to $141.00. While commercial payers like UnitedHealthcare and Blue Cross Blue Shield have negotiated rates that exceed the cash price, patients with high-deductible plans may find paying the cash rate directly more cost-effective if their insurance allows the full negotiated amount. It is important to note that while the facility is a Critical Access Hospital owned by the local government, the cash rate remains the most transparent baseline for comparison against the broader market.
Patients should be aware that insurance negotiated rates often include administrative overhead and do not reflect the true cost of care, which is better represented by the Medicare benchmark of $15.08 for this service. Although the facility's cash rate is significantly higher than the Medicare amount, it is still lower than the typical commercial negotiated rates seen across the region. To ensure you are receiving the best possible price, we recommend asking the billing department specifically about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final amount owed. Always request a detailed, itemized bill if you receive a summary invoice to verify that no services were double-billed or unbundled.