CMS Price Transparency Data

Blood test, vitamin B12

Facility: Ohiohealth Morrow County Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $28
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Ohiohealth Morrow County Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.86x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $37 (245%)
Insurance Median: $28 (186%)
Cash: $37 (245% of Medicare)
Ins. Median: $28 (186% 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
Blue Cross Blue Shield $9 - $27 60%
Aetna $21 - $49 139%
Humana $21 - $53 139%
Medicare (plans) $21 139%
UnitedHealthcare $21 - $47 139%
Caresource Marketplace - All Other Plans $26 172%
Medicaid / KanCare $27 - $28 179%
Amerihealth Caritas - All Plans $28 186%
Medical Mutual Of Ohio Marketplace $43 285%
Ohiohealthy Network - All Other Plans $43 285%
Ohiohealthy Preferred $43 285%
Molina Exchange - All Other Plans $45 298%
Medical Mutual Of Ohio Comm - All Other Plans $46 305%
Medical Mutual Of Ohio - Admin Serv $48 318%
Phcs - All Plans $52 345%
Cigna $53 351%
Multiplan - All Plans $54 358%
Beech Street - All Plans $55 365%
Healthstar Comm - All Plans $55 365%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals