CMS Price Transparency Data

Blood test, vitamin B12

Facility: Jacobson Memorial Hospital Care Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $95
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 6.30x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Jacobson Memorial Hospital Care Center is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 6.30x the Medicare baseline. Located in 601 East St N, Elgin, ND.
Cash / Self-Pay
$80

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $80 (531%)
Insurance Median: $95 (630%)
Cash: $80 (531% of Medicare)
Ins. Median: $95 (630% 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 630% of the Medicare baseline (a markup of 530%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $64 - $106 424%
Medicaid / KanCare $76 504%
Tricare $80 531%
UnitedHealthcare $81 - $106 537%
Medica $85 564%
Tlc Advantage $85 564%
Cigna $95 630%
Healthpartners $95 630%
Medicare (plans) $95 - $127 630%
Multiplan Commercial $95 630%
Blue Cross Blue Shield $106 - $148 703%
Humana $106 703%
Nextblue $106 703%
Sanford Health Plan $106 703%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 East St N, Elgin, ND 58533
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals