CMS Price Transparency Data

Blood test, vitamin B12

Facility: Mercy Hospital Southeast

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $25
  • Cash Discount Price: $157
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Mercy Hospital Southeast is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $157. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.66x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$157

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $157 (1041%)
Insurance Median: $25 (166%)
Cash: $157 (1041% of Medicare)
Ins. Median: $25 (166% 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
Medicaid / KanCare $14 - $36 93%
Aetna $15 - $154 99%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $15 99%
Blue Cross Blue Shield $15 - $229 99%
Cross Timbers Hospice [20098] $15 99%
Dept Of Veteran Affairs Contracted [320106] $15 99%
Elara Caring Aspire Hospice Contracted [320433] $15 99%
Elara Caring Aspire Hospice [20433] $15 99%
Halo Hcr Inc Hospice Contracted [320432] $15 99%
Halo Hcr Inc Hospice [20432] $15 99%
Humana $15 - $205 99%
Kindful Hospice Contracted [320434] $15 99%
Kindful Hospice [20434] $15 99%
Medicare (plans) $15 - $16 99%
Mercy Hospice Okc [20252] $15 99%
Pace Of The Ozarks Contracted [320518] $15 99%
Tricare $15 99%
UnitedHealthcare $15 - $36 99%
Provider Partners Health Plans Contracted [320450] $17 113%
United Medical Resources Contracted [320454] $18 119%
Ambetter / Centene $20 133%
Home State Health Plan Contracted [320187] $20 133%
Consociate Consolidated Health Contracted [320490] $21 - $33 139%
Auxiant Contracted [320462] $25 - $30 166%
Centivo Contracted [320505] $25 166%
Ebms Contracted [320493] $25 166%
Healthlink Contracted [320179] $25 - $188 166%
Imagine 360 Contracted [320494] $25 166%
Mercy Benefit Admin Contracted [320251] $25 - $164 166%
Yuzu Health Contracted [320521] $25 - $164 166%
Preferred Health Plan Contracted [320522] $26 172%
Reflect Health Contracted [320492] $26 172%
Hope Trust Contracted [320488] $37 245%
Cigna $41 272%
First Health Contracted [320128] $154 1021%
Health Alliance Contracted [320164] $157 1041%
Aither Health Contracted [320449] $164 1088%
Edison Health Solutions Contracted [320502] $164 1088%
Mercy Benefit Admin [20251] $164 1088%
Workers Comp [20426] $181 - $193 1200%
Multiplan Contracted [320270] $193 1280%
Private Health Care Systems Contracted [320320] $193 1280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals