Blood test, vitamin B12
Facility: Bob Wilson Memorial Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $151
- Cash Discount Price: $74
- vs. Medicare Baseline: 10.01x 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 1001% of the Medicare baseline (a markup of 901%). 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 |
|---|---|---|
| Centura Employee Plan | $19 | 126% |
| Kansas Health | $59 | 391% |
| Medicare (plans) | $59 | 391% |
| UnitedHealthcare | $59 - $154 | 391% |
| Aetna | $59 - $148 | 391% |
| Humana | $59 | 391% |
| Blue Cross Blue Shield | $77 | 511% |
| Multiplan | $166 - $172 | 1101% |
| Health Partners Of Kansas | $174 | 1154% |
| Wppa | $175 | 1160% |
Consumer Guidance & Cost Commentary
For the CPT code 82607 (Blood test, vitamin B12) at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median price is $74.00, which is significantly lower than the state average of $185.00. While the hospital's negotiated rates with insurance payers range from $59 to $175, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds $74.00. It is important to note that the facility's cash rate is also lower than the Medicare benchmark of $15.08 when adjusted for the specific pricing context, though the primary comparison for consumers is the direct cash savings against the broader state average.
Before scheduling this service, patients should explicitly request a self-pay or prompt-pay discount, as hospitals often offer reductions of 20% to 50% for upfront payments to bypass administrative billing cycles. Consumers should avoid accepting summary bills that only show broad category totals and instead demand a full itemized CPT-coded statement to identify any errors, double-billing, or unbundled charges that could inflate the final cost. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to verify the specific allowed amount with the insurance carrier before the visit to ensure you are not paying more than the negotiated rate.