CMS Price Transparency Data

Blood test, vitamin B12

Facility: Fairfield Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $22
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Fairfield Medical Center is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.46x the Medicare baseline. Located in 401 North Ewing Street, Lancaster, OH.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $31 (206%)
Insurance Median: $22 (146%)
Cash: $31 (206% of Medicare)
Ins. Median: $22 (146% 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
Humana $13 - $66 86%
Aetna $15 - $45 99%
Allied Benefit Systems $15 - $48 99%
Blue Cross Blue Shield $15 - $26,250 99%
Buckeye Community Health $15 - $23 99%
Caresource $15 - $21 99%
Medical Mutual $15 - $33,500 99%
Medicare (plans) $15 99%
Medigold $15 99%
Meritain Health $15 - $48 99%
Molina $15 - $25 99%
Oscar $15 99%
The Health Plan $15 - $48 99%
UnitedHealthcare $15 - $20 99%
Va Ccn $15 99%
Valor Health Plan $15 99%
Medicaid / KanCare $20 133%
Amerihealth Caritas Ohio $21 139%
Bwc $21 139%
Quality Care Partners/Ohio Ppo Connect $50 332%
The Ohio State Health Plan $53 351%
Cigna $57 378%
Ohio Healthy $65 431%
Multiplan $66 438%
Miscellaneous Plans $69 458%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 North Ewing Street, Lancaster, OH 43130
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals