CMS Price Transparency Data

Blood test, vitamin B12

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $144
Cash Discount Price: $237
vs. Medicare Baseline: 9.55x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $237. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 9.55x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$237

Average discount available for prompt cash payment at this facility.

Insurance Median

$144

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: $237 (1572%)

Insurance Median: $144 (955%)

Cash: $237 (1572% of Medicare)

Ins. Median: $144 (955% 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 955% of the Medicare baseline (a markup of 855%). 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
Humana	$15 - $222	99%
Managed Health Services	$15 - $16	99%
Molina Healthcare Of Wi	$15 - $212	99%
Network Health Plan	$15 - $208	99%
Quartz	$15 - $142	99%
Security Health Plan (Shp)	$15 - $144	99%
UnitedHealthcare	$15 - $53	99%
Veteran'S Administration (Va Ccn)	$15	99%
Blue Cross Blue Shield	$16 - $79	106%
Group Health Cooperative Of Eau Claire	$16 - $237	106%
Icare	$16 - $17	106%
My Choice	$16	106%
Trilogy	$16 - $224	106%
The Alliance	$126	836%
Amish/Mennonite	$137	908%
Wps Health Insurance	$168	1114%
Cigna	$169 - $184	1121%
Health Payment Systems	$173	1147%
First Health	$212	1406%
Healtheos By Multiplan Inc.	$232 - $237	1538%
Health Partners	$237	1572%
Coventry	$239	1585%

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 $237.
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 Marshfield Medical Center - Beaver Dam (Mmc-Bd) 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.