CMS Price Transparency Data

Blood test, vitamin B12

Facility: Dunes Surgical Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $27
Cash Discount Price: $24
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Dunes Surgical Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.79x the Medicare baseline. Located in 600 N Sioux Point Road, Dakota Dunes, SD.

Cash / Self-Pay

$24

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $24 (159%)

Insurance Median: $27 (179%)

Cash: $24 (159% of Medicare)

Ins. Median: $27 (179% 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.

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
UnitedHealthcare	$15 - $108	99%
Ia Total Care	$16	106%
Ne Total Care	$16	106%
Siouxland Pace	$16	106%
Wellpoint	$16	106%
Amerigroup	$17	113%
Molina	$17	113%
Oscar	$19	126%
Blue Cross Blue Shield	$34	225%
Cigna	$94	623%
Midlands Choice	$94	623%
Avera Health Plans	$101	670%
Multiplan	$101	670%
Accountable Healthplan	$115	763%
Sanford Health Plan	$115	763%
Health Partners	$131	869%

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 $24.
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 Dunes Surgical 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.