CMS Price Transparency Data

Blood test, vitamin B12

Facility: Marshfield Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $96
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 6.37x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Marshfield Medical Center is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 6.37x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.
Cash / Self-Pay
$107

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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: $107 (710%)
Insurance Median: $96 (637%)
Cash: $107 (710% of Medicare)
Ins. Median: $96 (637% 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 637% of the Medicare baseline (a markup of 537%). 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
Security Health Plan (Shp) $15 - $104 99%
Veteran'S Administration (Va Ccn) $15 99%
Blue Cross Blue Shield $16 - $94 106%
Group Health Cooperative Of Eau Claire $16 - $104 106%
Managed Health Services $17 113%
UnitedHealthcare $53 351%
Family Health Center (Fhc) $56 371%
Amish/Mennonite $62 411%
Sanford Health Plan $62 411%
The Alliance $79 - $94 524%
Besse Forest Products $96 637%
Molina Healthcare Of Wi $96 637%
Rice Lake School District $96 637%
Wps Health Insurance $100 - $109 663%
Trilogy $102 - $108 676%
Medica Of Wi $105 - $107 696%
Cigna $106 703%
Healtheos By Multiplan Inc. $106 - $107 703%
Corvel $107 710%
First Health $107 710%
Health Partners $107 710%
Three Rivers Provider Network (Trpn) $107 710%
Coventry $108 716%
Health Smart $108 716%
Rising Medical Work Comp $110 729%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 St Joseph Ave, Marshfield, WI 54449
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals