CMS Price Transparency Data

Blood test, vitamin B12

Facility: Ohio Valley Surgical Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $11,885
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 788.13x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Ohio Valley Surgical Hospital is $11,885. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 788.13x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,885

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: $122 (809%)
Insurance Median: $11,885 (78813%)
Cash: $122 (809% of Medicare)
Ins. Median: $11,885 (78813% 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 78813% of the Medicare baseline (a markup of 78713%). 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
Blue Cross Blue Shield $2 - $40,293 13%
UnitedHealthcare $18 - $17,571 119%
Aetna $21 - $20,896 139%
Geha $21 - $20,896 139%
Genworth $21 - $20,896 139%
Mail Handlers $21 - $20,896 139%
Meritain $21 - $20,896 139%
Meritain Heatlh $21 - $20,896 139%
Mhbp $21 - $20,896 139%
Ngs Coresource $21 - $20,896 139%
Nippon Life $21 - $20,896 139%
Pacific Source $21 - $20,896 139%
Personify Health $21 - $20,896 139%
Mmoh $92 - $11,885 610%
Mmo Cin. Hmo $94 - $129 623%
Mmoh (Supermed) $94 - $95 623%
Medicare (plans) $122 - $12,264 809%
Luminare Health $184 1220%
Medben $184 1220%
Ohio Health $184 1220%
Preferred Health $184 1220%
Medicaid / KanCare $3,557 - $17,827 23588%
Amerihealth Caritas Of Ohio $3,657 24251%
Buckeye Community Health Plan $4,022 26671%
Molina Mcd $4,084 27082%
Caresource $4,364 - $17,827 28939%
Humana $4,493 - $11,919 29794%
Aarp $11,885 78813%
Aarp Supplemental $11,885 78813%
American Continental Insurance $11,885 78813%
American Continental Life $11,885 78813%
American Republic $11,885 78813%
American Retirement $11,885 78813%
Aultcare Primetime Health Plan $11,885 78813%
Bankers Fidelity $11,885 78813%
Bankers Life And Casualty $11,885 78813%
Central States $11,885 78813%
Champus $11,885 78813%
Cigna $11,885 - $18,817 78813%
Communicare Advantage $11,885 78813%
Everest $11,885 78813%
Gateway Health Plan $11,885 78813%
Medigold $11,885 78813%
Molina $11,885 78813%
Molina Dual Mcr $11,885 78813%
Molina Marketplace $11,885 78813%
Molina Dual Mcr $11,885 78813%
Molina Mcr $11,885 78813%
Molina Mcr Mcd $11,885 78813%
Molina Mcr+Mcd $11,885 78813%
Patient No Pay $11,885 78813%
Prosperity Supplement $11,885 78813%
Self Pay Imaging $11,885 78813%
Wellcare By Allwell $11,885 78813%
Wraparound Pl Supp $11,885 78813%
The Health Plan $12,479 82752%
Devoted Health $13,707 90895%
Employer Direct $15,703 104131%
Golden Rule $17,571 116519%
Medica $17,571 116519%
Oxford $17,571 116519%
Shl $17,571 116519%
Surest $17,571 116519%
Ushealth $17,571 116519%
Caresourse $17,827 118216%
Healthgram $18,817 124781%
Nalc $18,817 124781%
Samba $18,817 124781%
Sbma $18,817 124781%
Unified Group $18,817 124781%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals