CMS Price Transparency Data

Blood test, vitamin B12

Facility: University Hospitals Conneaut Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $105
  • Cash Discount Price: $142
  • vs. Medicare Baseline: 6.96x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at University Hospitals Conneaut Medical Center is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 6.96x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$142

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $142 (942%)
Insurance Median: $105 (696%)
Cash: $142 (942% of Medicare)
Ins. Median: $105 (696% 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 696% of the Medicare baseline (a markup of 596%). 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 $7 - $180 46%
University Health Employee Plan (Contigo) $21 139%
Aetna $36 - $104 239%
UnitedHealthcare $58 - $59 385%
Cigna $59 - $139 391%
Devoted $59 391%
Humana $59 391%
Medical Mutual Of Ohio $59 - $178 391%
Molina $59 391%
Primetime Health Plan $59 391%
Summacare $59 - $96 391%
The Health Plan $59 - $125 391%
Wellcare By Allwell $59 391%
Paramount $60 398%
Perennial Advantage Of Ohio $62 411%
Valor Health Plans $62 411%
Amish Aid Community Plan $87 577%
Amish Church Fund And Workers Aid Plan $87 577%
Buckeye Plain Ministries $87 577%
Jp Farley $89 590%
Clarity $91 603%
Christian Healthcare Ministries $94 623%
Immergrun $94 623%
Sunrise Plan Communities $94 623%
Aultcare $104 690%
Ambetter / Centene $105 696%
Caresource $105 696%
Healthsmart $123 816%
Ohio Health Choice $123 - $170 816%
Medical Mutual Traditional/Health Ohio $132 875%
Beech Street $151 - $170 1001%
Ohio Preferred Network $151 - $170 1001%
First Health $157 1041%
Century Health Network $161 1068%
Private Healthcare System $163 1081%
Configurenet $170 1127%
Fortified Provider Network $170 1127%
Multiplan $170 1127%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals