CMS Price Transparency Data

Blood test, vitamin B12

Facility: Mercy St Francis Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $184
Cash Discount Price: $133
vs. Medicare Baseline: 12.20x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Mercy St Francis Hospital is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 12.20x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$184

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: $133 (882%)

Insurance Median: $184 (1220%)

Cash: $133 (882% of Medicare)

Ins. Median: $184 (1220% 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 1220% of the Medicare baseline (a markup of 1120%). 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	$15 - $198	99%
Medicaid / KanCare	$15 - $106	99%
Medicare (plans)	$15 - $73	99%
UnitedHealthcare	$15 - $194	99%
Tricare	$69	458%
Aetna	$70 - $182	464%
Cherokee Nation Health Serv Contracted [320066]	$70	464%
Cigna	$70 - $194	464%
Cross Timbers Hospice [20098]	$70	464%
Dept Of Veteran Affairs Contracted [320106]	$70	464%
Elara Caring Aspire Hospice [20433]	$70	464%
Globalhealth Contracted [320145]	$70	464%
Halo Hcr Inc Hospice Contracted [320432]	$70	464%
Halo Hcr Inc Hospice [20432]	$70	464%
Humana	$70 - $184	464%
Indian Health Service Contracted [320198]	$70	464%
Kindful Hospice Contracted [320434]	$70	464%
Kindful Hospice [20434]	$70	464%
Medical Associates Health Contracted [320444]	$70	464%
Mercy Hospice Okc [20252]	$70	464%
Mercy Mgd Behavioral Health Contracted [320259]	$70	464%
Pace Of The Ozarks Contracted [320518]	$70	464%
Provider Partners Health Plans Contracted [320450]	$70	464%
Qual Choice Contracted [320325]	$70	464%
Administrative Payor Contracted [320005]	$92	610%
Healthscope Contracted [320182]	$93	617%
Ambetter / Centene	$106	703%
Home State Health Plan Contracted [320187]	$106	703%
Novasys Contracted [320285]	$106	703%
Centivo Contracted [320505]	$118	782%
Healthlink Contracted [320179]	$133 - $194	882%
Preferred Health Plan Contracted [320522]	$133	882%
Workers Comp [20426]	$163 - $173	1081%
Auxiant Contracted [320462]	$184 - $194	1220%
Mercy Benefit Admin Contracted [320251]	$184 - $194	1220%
Point C Contracted [320238]	$184 - $194	1220%
United Medical Resources Contracted [320454]	$184 - $190	1220%
Medica Contracted [320239]	$193	1280%
90 Degree Benefits Contracted [320436]	$194	1286%
Aither Health Contracted [320449]	$194	1286%
Benefit Management Contracted [320052]	$194	1286%
Ebms Contracted [320493]	$194	1286%
Edison Health Solutions Contracted [320502]	$194	1286%
Evolutions Health Care Contracted [320124]	$194	1286%
First Health Contracted [320128]	$194	1286%
Health Systems Inc Contracted [320174]	$194	1286%
Imagine 360 Contracted [320494]	$194	1286%
Insurance System Inc Contracted [320465]	$194	1286%
Multiplan Contracted [320270]	$194	1286%
Point C [20238]	$194	1286%
Private Health Care Systems Contracted [320320]	$194	1286%
Reflect Health Contracted [320492]	$194	1286%
Show-Me Health Administrators Contracted [320483]	$194	1286%
Usa Managed Care Org Contracted [320429]	$194	1286%
Yuzu Health Contracted [320521]	$194	1286%

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 $133.
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 Mercy St Francis 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.