Blood test, vitamin B12
Facility: Amberwell Atchison Association
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $66
- Cash Discount Price: $146
- vs. Medicare Baseline: 4.38x 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 438% of the Medicare baseline (a markup of 338%). 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 | $48 - $262 | 318% |
| Triwest - All Plans | $48 | 318% |
| Va Ccn - All Plans | $48 | 318% |
| Humana | $48 - $66 | 318% |
| Superior Select Mcr Adv - All Plans | $48 | 318% |
| Blue Cross Blue Shield | $55 - $57 | 365% |
| Ambetter / Centene | $75 | 497% |
| Cigna | $80 | 531% |
| Aetna | $80 | 531% |
| Oscar - All Plans | $110 | 729% |
| Centrus Health Direct - All Plans | $110 | 729% |
| Multiplan - All Plans | $114 | 756% |
| Wppa Providrs Care - All Plans | $131 | 869% |
Consumer Guidance & Cost Commentary
For the blood test for vitamin B12 at Amberwell Atchison Association, the cash price is $146.00, which matches the facility's median paid amount. This cash rate is significantly lower than the negotiated rates charged to most insurance plans, with the highest negotiated amount reaching $131.00 for some payers and the gross chargemaster listed at $146.00. While the facility is a Critical Access Hospital in Atchison, KS, the data provided does not include specific state or county average comparisons for this procedure. Patients with high-deductible plans may find paying the cash price of $146.00 more cost-effective than relying on insurance, as the negotiated rates for many commercial payers exceed the cash amount. It is important to verify your specific plan's deductible status before scheduling, as paying out-of-pocket could result in a lower total out-of-pocket cost if your insurance does not cover the service until the deductible is met.
To minimize unexpected costs, patients should proactively ask the facility about "self-pay" or "prompt-pay" discounts before check-in, which can reduce the bill by 20% to 50% for upfront payment. If you are using insurance, be aware that the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, but you should still request an itemized bill to ensure no unbundled codes or services not rendered are included. Since over 80% of hospital bills contain errors, always dispute any summary bills by demanding a detailed, line-by-line statement showing specific CPT codes. For this specific service, the Medicare benchmark rate is $15.0