CMS Price Transparency Data

Blood test, vitamin B12

Facility: Cheshire Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $47
Cash Discount Price: $69
vs. Medicare Baseline: 3.12x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Cheshire Medical Center is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 3.12x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$69

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $69 (458%)

Insurance Median: $47 (312%)

Cash: $69 (458% of Medicare)

Ins. Median: $47 (312% 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 312% of the Medicare baseline (a markup of 212%). 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
Amerihealth Caritas Nh	$11 - $30	73%
Granite State Health Plan	$11 - $42	73%
Wellsense Health Plan	$11 - $34	73%
UnitedHealthcare	$14 - $189	93%
Aetna	$15 - $170	99%
Ambetter / Centene	$15	99%
Blue Cross Blue Shield	$15 - $198	99%
Cigna	$15 - $123	99%
Martin'S Point Generations Advantage	$15	99%
Mvp	$15 - $123	99%
Wellcare Health Plans	$15	99%
Martin'S Point Health Care	$16	106%
Mass General Brigham Health Plan	$19 - $249	126%
Harvard Pilgrim Health Care Of Ne	$23 - $113	153%
Tufts Health Plan	$40 - $159	265%
Maine Community Health Options	$112	743%
First Health/Hcvm	$212	1406%
Phcs	$224	1485%

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 $69.
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 Cheshire Medical Center 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.