Blood test, vitamin B12
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $156
- Cash Discount Price: $207
- vs. Medicare Baseline: 10.34x 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 1034% of the Medicare baseline (a markup of 934%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $124 | 822% |
| Americas Choice Provider Network | $145 | 962% |
| Quiktrip Corporation | $156 | 1034% |
| Usa Managed Care Organization | $156 | 1034% |
| Velocity | $156 | 1034% |
| Provider Network Of America | $156 | 1034% |
| Multiplan-Phcs | $166 | 1101% |
| Prime Health Services | $176 | 1167% |
| Medincrease | $187 | 1240% |
Consumer Guidance & Cost Commentary
For the CPT code 82607 (Blood test, vitamin B12), the Rehabilitation Hospital Of Overland Park lists a cash price of $207.00, which matches the facility's median paid amount. While the facility's negotiated rates with nine insurance payers range from $124 to $187, the cash price is actually the highest figure in this dataset. This is a notable exception to the common rule that cash-pay is cheaper; in this specific case, paying out-of-pocket exceeds the negotiated rates offered by insurers like Blue Cross Blue Shield ($124) and Quiktrip Corporation ($156). Patients with high-deductible plans should be aware that using their insurance might result in a lower total cost than paying cash, as the negotiated rates are significantly below the cash price. However, patients should always verify if the facility offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can sometimes reduce the final bill further.
When evaluating the cost of this service, it is important to compare the facility's rates against the Medicare benchmark rather than the hospital's full chargemaster list. The Medicare amount for this procedure is $15.08, which serves as the federal baseline for "true cost." The facility's cash price of $207.00 represents a substantial markup over the Medicare rate, consistent with how commercial rates often exceed the 120% to 150% of Medicare range considered fair. Additionally, the data shows a 10.3% variance compared to Medicare, highlighting that the facility's pricing structure differs significantly from the federal standard. Consumers should request an itemized bill