CMS Price Transparency Data

Blood test, vitamin B12

Facility: Fostoria Community Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $74
Cash Discount Price: $92
vs. Medicare Baseline: 4.91x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Fostoria Community Hospital is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.91x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$92

Average discount available for prompt cash payment at this facility.

Insurance Median

$74

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: $92 (610%)

Insurance Median: $74 (491%)

Cash: $92 (610% of Medicare)

Ins. Median: $74 (491% 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 491% of the Medicare baseline (a markup of 391%). 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
Meridian Health Plan Of Mi	$8	53%
Paramount Health Care	$14 - $75	93%
Blue Cross Blue Shield	$15 - $92	99%
Buckeye Community Health Plan	$15 - $33	99%
Health Alliance Plan	$15 - $106	99%
Health Value Management	$15 - $31	99%
Aetna	$17 - $95	113%
Buckeye Community Health Plan Inc	$17 - $52	113%
Dayton Area Health Plan Dba Caresource	$22 - $59	146%
UnitedHealthcare	$22 - $85	146%
Veterans Affairs	$31	206%
Amerihealth	$34	225%
Medical Mutual Of Ohio	$80 - $85	531%
Frontpath Health Coalition	$82	544%
Ohio Health Choice	$92	610%
Ohio Ppo Connect	$92 - $106	610%
Health Ohio Network	$112	743%
Connecticut General Life Insurance Company	$113	749%

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 $92.
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 Fostoria 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.