CMS Price Transparency Data

Blood test, vitamin B12

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $45
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.98x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Arthur G James Cancer Hospital and Research Institute is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.98x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

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%)

Insurance Median: $45 (298%)

Ins. Median: $45 (298% 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 298% of the Medicare baseline (a markup of 198%). 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
Healthspan	$17 - $5,413	113%
Humana	$17 - $5,521	113%
Medicare (plans)	$17 - $5,467	113%
Medigold	$17	113%
Upper Ohio Valley	$17 - $5,413	113%
Medicaid / KanCare	$20 - $27	133%
Aetna	$21 - $5,388	139%
United	$22 - $71	146%
Caresource	$26 - $38	172%
Mmo	$26 - $66	172%
Molina	$26 - $5,388	172%
Odrc	$27 - $32	179%
Amerihealth	$29 - $42	192%
Blue Cross Blue Shield	$29 - $74	192%
Buckeye Community	$29 - $38	192%
Osu Health Plan	$36 - $52	239%
Lifetrac	$51 - $53	338%
Ohio Ppo	$51	338%
Ohiohealth	$56 - $57	371%
Cigna	$57 - $102	378%
Frontpath	$62	411%
Healthsmart	$70	464%
Multiplan	$73	484%
Ohio Dept Of Health	$4,289	28442%

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 $X.
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 Arthur G James Cancer Hospital and Research Institute 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.