CMS Price Transparency Data

Blood test, vitamin B12

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $48
Cash Discount Price: $105
vs. Medicare Baseline: 3.18x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Uofl Health - Shelbyville Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 3.18x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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%)

Cash / Self-Pay: $105 (696%)

Insurance Median: $48 (318%)

Cash: $105 (696% of Medicare)

Ins. Median: $48 (318% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 318% of the Medicare baseline (a markup of 218%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$13 - $119	86%
Aetna	$14 - $46	93%
Humana	$14 - $46	93%
Essence Health	$15	99%
Passport	$15 - $138	99%
Senior Care Communty Of Ky	$15	99%
UnitedHealthcare	$15 - $132	99%
Va Ccn	$15	99%
Wellcare	$15 - $44	99%
Communicare	$16	106%
Devoted	$16	106%
Signature	$16 - $138	106%
Velocity	$19 - $270	126%
Key Benefit Administrators	$20	133%
Cigna	$25	166%
Prime Group Health	$98 - $235	650%
Encore	$166	1101%
Multiplan	$182 - $248	1207%
Omca	$262	1737%
Corvel	$276	1830%
Cshn	$276	1830%
Health Smart	$276	1830%
National Comp Care	$276	1830%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $105.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Uofl Health - Shelbyville Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.