CMS Price Transparency Data

Blood test, vitamin B12

Facility: The Children's Mercy Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $33
Cash Discount Price: $24
vs. Medicare Baseline: 2.19x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at The Children's Mercy Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.19x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$24

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $24 (159%)

Insurance Median: $33 (219%)

Cash: $24 (159% of Medicare)

Ins. Median: $33 (219% 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 219% of the Medicare baseline (a markup of 119%). 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
UnitedHealthcare	$16 - $41	106%
Healthy Blue	$17 - $41	113%
Medicaid / KanCare	$18	119%
Blue Cross Blue Shield	$20 - $38	133%
Cigna	$24 - $35	159%
Aetna	$29 - $35	192%
Medica	$29 - $30	192%
Centivo	$32 - $33	212%
Health Midwest Comprehensive Care	$32 - $33	212%
Nebraska Furniture Mart	$32 - $33	212%
Orscheln	$32 - $33	212%
Quiktrip	$32 - $33	212%
Wellfit/Centrus	$32 - $33	212%
Wppa Providrs Care	$32 - $33	212%
Humana	$33 - $34	219%
Coventry Health Care Of Kansas	$36 - $38	239%
Coxhealth Network	$36 - $38	239%
Home State Health	$36	239%
Mercy Health	$37 - $38	245%
Multiplan	$37 - $39	245%
American Healthcare Alliance	$42 - $43	279%
Healthlink	$43 - $45	285%
National Preferred Provider Network	$44 - $46	292%

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 $24.
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 The Children's Mercy 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.