CMS Price Transparency Data

Blood test, vitamin B12

Facility: Wooster Community Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $27
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Wooster Community Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.79x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $48 (318%)
Insurance Median: $27 (179%)
Cash: $48 (318% of Medicare)
Ins. Median: $27 (179% 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
Blue Cross Blue Shield $11 - $20 73%
Aultcare/Primecare Mcr Adv $15 - $33 99%
Buckeye Mcare $15 99%
Caresource Mcr Adv $15 99%
Humana $15 - $62 99%
Med Mutual Of Oh Mcr $15 99%
Molina Mcr $15 99%
Summacare Mcr $15 99%
The Health Plan Mcr Adv $15 99%
Tricare $15 99%
UnitedHealthcare $15 - $63 99%
Valor Hp Mcr-All Plans $15 99%
Buckeye Mcaid-All Other Plans $19 126%
Caresource Mcaid $19 126%
Aetna $20 - $66 133%
Amerihealth Mcaid-All Plans $20 133%
Magnipower-All Plans $20 133%
Molina Mcaid $20 133%
Cerco-All Plans $21 - $46 139%
Aultcare Wayne County $22 - $50 146%
Aultcare/Primetime Exch $22 - $50 146%
Caresource Exch - All Other Plans $22 146%
Rayco-All Plans $22 - $50 146%
Christian Health Ministries-All Plans $24 - $53 159%
Cigna $24 - $53 159%
Health Ohio Network Employer $24 - $53 159%
Wayne County-All Plans $24 - $53 159%
Health Ohio Network Ppo-All Other Plans $25 - $56 166%
Healthsmart Accel $25 - $55 166%
Healthsmart Complete Ppo-All Other Plans $25 - $56 166%
Ohio Health Choice Supp $25 - $56 166%
Ohio Health Group Hlthy - All Other Plans $25 - $56 166%
Summacare Preferred Choice $25 - $55 166%
Health Plan Of Upper Ohio-All Plans $26 - $59 172%
Med Mutual Of Oh Exchange $26 - $57 172%
Med Mutual Of Oh Supermed $26 - $57 172%
Med Mutual Of Oh Trad-All Other Plans $26 - $57 172%
Molina Marketplace - All Other Plans $26 172%
The Health Plan Comm - All Other Plans $26 - $59 172%
Aultcare/Primetime-All Other Plans $27 - $60 179%
Healthsmart Ppo $27 - $60 179%
Ohio Health Group Pref $27 - $59 179%
Healthsmart Hpo $28 - $63 186%
Ohio Health Choice-All Other Plans $28 - $62 186%
Osu-All Plans $28 - $63 186%
Summacare-All Other Plans $28 - $62 186%
Beech Street-All Plans $29 - $64 192%
Central Benefits-All Plans $29 - $64 192%
Clarity Health - All Plans $29 192%
First Health-All Plans $29 - $64 192%
Flora-All Plans $29 - $64 192%
Phcs-All Plans $29 - $64 192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals