CMS Price Transparency Data

Blood test, vitamin B12

Facility: Ascension Via Christi Rehabilitation Hospital Inc

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Ascension Via Christi Rehabilitation Hospital Inc is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 1151 N Rock Rd, Wichita, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$15.08

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.08 (100%)
Insurance Median: $15 (99%)
Ins. Median: $15 (99% of 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Smarthealth $14 - $21 93%
Va $15 99%
Medicare (plans) $15 99%
Vc Hope $15 99%
Blue Cross Blue Shield $15 99%
UnitedHealthcare $15 - $42 99%
Humana $15 99%
Cigna $23 153%
Medicaid / KanCare $26 172%
Aetna $47 - $53 312%
Coventry City Of Wichita $61 405%

Consumer Guidance & Cost Commentary

For the CPT code 82607, representing a blood test for vitamin B12, the negotiated rates at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, range from $14 to $61 depending on the insurance carrier. While the facility's median negotiated rate is $15.00, which is slightly lower than the Medicare benchmark of $15.08, commercial payers like UnitedHealthcare and Aetna have negotiated rates as high as $42 and $53 respectively. These commercial rates are significantly higher than the facility's cash price, which is not listed in this report. Patients with high-deductible plans or those who have not yet met their out-of-pocket maximum may find that paying the cash price directly is more cost-effective than relying on insurance, as the insurance allowed amount often exceeds the cash rate.

To minimize unexpected costs, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling any services, as these upfront payment options can reduce the total amount owed. It is also important to request a full itemized bill rather than accepting a summary invoice, as hospitals sometimes bundle multiple services or unbundled codes that can lead to overcharging. If a patient receives a balance bill for services rendered at this in-network facility, they should verify the legality of the charge under the No Surprises Act, which prohibits balance billing for non-emergency services from out-of-network providers at in-network hospitals. Disputing any unexpected charges in writing with the billing supervisor is the most effective way to ensure the final bill reflects the agreed-upon negotiated or cash rates.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1151 N Rock Rd, Wichita, KS 67206
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL