CMS Price Transparency Data
Blood test, vitamin B12
Facility: Mercy Hospital Springfield
Billing Code: 82607 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82607
- Insurance Median: $30
- Cash Discount Price: $78
- vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Mercy Hospital Springfield is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.99x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$78
Average discount available for prompt cash payment at this facility.
Insurance Median
$30
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: $78 (517%)
Insurance Median: $30 (199%)
Cash: $78 (517% of Medicare)
Ins. Median: $30 (199% 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 |
|---|---|---|
| Blue Cross Blue Shield | $11 - $92 | 73% |
| Aetna | $13 - $18 | 86% |
| Humana | $13 - $82 | 86% |
| Medicaid / KanCare | $13 - $29 | 86% |
| Medica Contracted [320239] | $14 | 93% |
| Medica [20239] | $14 | 93% |
| Centurion Of Missouri [20459] | $15 | 99% |
| Champva [20065] | $15 | 99% |
| Cherokee Nation Health Serv Contracted [320066] | $15 | 99% |
| Cigna | $15 - $87 | 99% |
| Cross Timbers Hospice [20098] | $15 | 99% |
| Dept Of Veteran Affairs Contracted [320106] | $15 | 99% |
| Elara Caring Aspire Hospice [20433] | $15 | 99% |
| Globalhealth Contracted [320145] | $15 | 99% |
| Halo Hcr Inc Hospice Contracted [320432] | $15 | 99% |
| Halo Hcr Inc Hospice [20432] | $15 | 99% |
| Indian Health Service Contracted [320198] | $15 | 99% |
| Indian Health Service [20198] | $15 | 99% |
| Kindful Hospice Contracted [320434] | $15 | 99% |
| Kindful Hospice [20434] | $15 | 99% |
| Medicare (plans) | $15 - $16 | 99% |
| Mercy Hospice Okc [20252] | $15 | 99% |
| Mercy Mgd Behavioral Health Contracted [320259] | $15 | 99% |
| Mercy Rehab Hospital Contracted [320260] | $15 | 99% |
| Pace Of The Ozarks Contracted [320518] | $15 | 99% |
| Qual Choice Contracted [320325] | $15 | 99% |
| Tricare | $15 | 99% |
| United Medical Resources Contracted [320454] | $15 - $62 | 99% |
| UnitedHealthcare | $15 - $92 | 99% |
| Provider Partners Health Plans Contracted [320450] | $16 | 106% |
| Healthscope Contracted [320182] | $19 | 126% |
| Centivo Contracted [320505] | $25 | 166% |
| Ambetter / Centene | $29 | 192% |
| Home State Health Plan Contracted [320187] | $29 | 192% |
| Novasys Contracted [320285] | $29 | 192% |
| Providrs Care Network Contracted [320484] | $29 | 192% |
| Aither Health Contracted [320449] | $30 - $68 | 199% |
| Auxiant Contracted [320462] | $30 - $78 | 199% |
| Ebms Contracted [320493] | $30 | 199% |
| Healthlink Contracted [320179] | $30 - $90 | 199% |
| Imagine 360 Contracted [320494] | $30 | 199% |
| Mercy Benefit Admin Contracted [320251] | $30 - $93 | 199% |
| Reflect Health Contracted [320492] | $30 | 199% |
| Yuzu Health Contracted [320521] | $30 | 199% |
| Benefit Management Contracted [320052] | $48 | 318% |
| Health Systems Inc Contracted [320174] | $48 | 318% |
| Insurance System Inc Contracted [320465] | $48 | 318% |
| Administrative Payor Contracted [320005] | $54 - $60 | 358% |
| Evolutions Health Care Contracted [320124] | $54 | 358% |
| Point C Contracted [320238] | $54 - $90 | 358% |
| Point C [20238] | $54 | 358% |
| Medical Destinations Contracted [320242] | $60 | 398% |
| Workers Comp [20426] | $60 - $102 | 398% |
| First Health Contracted [320128] | $67 | 444% |
| Edison Health Solutions Contracted [320502] | $68 | 451% |
| Federal Medical Center Contracted [320127] | $72 | 477% |
| 90 Degree Benefits Contracted [320436] | $88 | 584% |
| Show-Me Health Administrators Contracted [320483] | $88 - $93 | 584% |
| Multiplan Contracted [320270] | $92 | 610% |
| Private Health Care Systems Contracted [320320] | $92 | 610% |
| Compcare Of The Ozarks Contracted [320437] | $95 | 630% |
| American Healthcare Alliance Contracted [320020] | $96 | 637% |
| Qual Choice Contracted [320324] | $96 | 637% |
| Municipal Health Plan Contracted [320271] | $97 | 643% |
| Usa Managed Care Org Contracted [320429] | $106 | 703% |
| Ppo Plus Contracted [320310] | $108 | 716% |