CMS Price Transparency Data

Blood test, vitamin B12

Facility: Lodi Community Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $52
Cash Discount Price: $64
vs. Medicare Baseline: 3.45x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Lodi Community Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 3.45x the Medicare baseline. Located in 225 Elyria Street, Lodi, OH.

Cash / Self-Pay

$64

Average discount available for prompt cash payment at this facility.

Insurance Median

$52

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: $64 (424%)

Insurance Median: $52 (345%)

Cash: $64 (424% of Medicare)

Ins. Median: $52 (345% 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 345% of the Medicare baseline (a markup of 245%). 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
Blue Cross Blue Shield	$15 - $73	99%
UnitedHealthcare	$15 - $61	99%
Mmo	$19 - $52	126%
Buckeye	$27	179%
Caresource	$27	179%
Molina	$28	186%
United	$28 - $70	186%
Humana	$29	192%
Summacare	$29 - $60	192%
Amerihealth	$30	199%
Oscar	$30 - $38	199%
Aetna	$33 - $98	219%
The Health Plan	$39 - $78	259%
Amish Community Aid Plan	$44 - $49	292%
Ohcp	$48	318%
Aultcare	$49	325%
Omas	$49	325%
Ohio Healthy	$53	351%
Php	$59	391%
Phphi	$59	391%
Upmc	$59	391%
Cigna	$63	418%
Cc Ehp	$66	438%
Gms	$69	458%
Medical Benefit Corp	$69	458%
Consociate Health	$74	491%
Frontpath	$88	584%
Managed Care Services	$88	584%
Multiplan	$88	584%
Tertiary Care Network	$88	584%

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 $64.
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 Lodi Community Hospital 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.