Blood test, vitamin B12
Facility: Smith County Memorial Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $68
- Cash Discount Price: $80
- vs. Medicare Baseline: 4.51x 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 451% of the Medicare baseline (a markup of 351%). 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 |
|---|---|---|
| Medicaid / KanCare | $50 - $88 | 332% |
| Blue Cross Blue Shield | $57 | 378% |
| Multiplan-All Plans | $65 - $79 | 431% |
| UnitedHealthcare | $68 - $84 | 451% |
| Health Partners Of Ks Ppo-All Plans | $68 - $84 | 451% |
| Midlands Choice-All Plans | $68 - $84 | 451% |
| Wppa-All Plans | $68 - $83 | 451% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, Smith County Memorial Hospital in Smith Center, KS, lists a cash median price of $80.00, which matches the facility's gross charge. This cash rate is significantly higher than the state average for this service, which is $68.00. While commercial payers negotiate rates ranging from $50 to $88 depending on the specific plan, the cash price remains the most transparent baseline for patients without insurance. It is important to note that for individuals with high-deductible plans, paying the cash price of $80.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates for many in-network plans often exceed this amount due to administrative overhead and contract structures.
Patients should be aware that hospitals frequently issue summary bills that obscure individual charges, making it difficult to identify errors or unbundled services. To protect yourself from overcharging, always request a full itemized bill that lists specific CPT codes before agreeing to payment or negotiating. Additionally, since the facility is a Critical Access Hospital with government local ownership, you should explicitly ask about "self-pay" or "prompt-pay" discounts, which can reduce the final balance by 20% to 50% if settled in full within a short window. Finally, remember that the Medicare benchmark for this code is $15.08; comparing your final payment to this federal baseline rather than the hospital's gross list price provides the most accurate view of whether the facility's pricing is reasonable.