Blood test, vitamin B12
Facility: Neosho Memorial Regional Medical Center
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $45
- Cash Discount Price: $106
- vs. Medicare Baseline: 2.98x 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 298% of the Medicare baseline (a markup of 198%). 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 | $15 | 99% |
| Tricare | $43 | 285% |
| Medadv_Uhc | $45 | 298% |
| Humana | $45 | 298% |
| Medicare (plans) | $45 | 298% |
| Medadv_Allwell | $45 | 298% |
| Va_Ccn | $45 | 298% |
| Blue Cross Blue Shield | $45 - $63 | 298% |
| Aetna | $45 | 298% |
| Ambetter / Centene | $47 | 312% |
| United | $117 | 776% |
| Wppa_Providrscare | $117 | 776% |
| Cigna | $134 | 889% |
| Coventry | $134 | 889% |
| Hpk | $134 | 889% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, the facility's cash median rate is $106.00, which is significantly higher than the state average of $96.00. While the facility is a Critical Access Hospital in Chanute, KS, with a government-local ownership structure, patients should be aware that commercial negotiated rates vary widely among the 15 payers listed, ranging from a low of $15 for Medicaid/KanCare to $134 for Cigna and Coventry. It is important to note that these negotiated rates often exceed the cash price due to administrative overhead and contract dynamics; therefore, patients with high-deductible plans may find paying the cash median rate of $106.00 directly to the hospital more cost-effective than relying on insurance, especially if their plan's negotiated rate is higher than the cash amount.
To maximize savings, patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront. Since the facility is a Critical Access Hospital, it may offer favorable pricing structures compared to larger regional centers, but the absence of a specific county average in the provided data means the state median of $96.00 serves as the primary benchmark for comparison. If you choose to use insurance, be prepared to verify your deductible status before scheduling, as many plans require the deductible to be met before the negotiated rate applies. Additionally, always request a full itemized bill before paying to ensure no errors or unbundled charges are included, as over 80% of