CMS Price Transparency Data

Blood test, vitamin B12

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $109
Cash Discount Price: $113
vs. Medicare Baseline: 7.23x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at University of Wi Hospitals & Clinics Authority is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 7.23x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $113 (749%)

Insurance Median: $109 (723%)

Cash: $113 (749% of Medicare)

Ins. Median: $109 (723% 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 723% of the Medicare baseline (a markup of 623%). 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
Aetna	$15 - $151	99%
Blue Cross Blue Shield	$15 - $179	99%
Humana	$15	99%
Medicare (plans)	$15	99%
UnitedHealthcare	$15 - $118	99%
Alliance_Premier_Network	$90	597%
Mercycare	$93	617%
Triology	$96 - $115	637%
Security_Health_Plan	$102 - $119	676%
Employer'S_Coalition_On_Health	$103 - $145	683%
Alliance	$106	703%
Hfn	$107 - $145	710%
United_Healthcare	$108 - $160	716%
Beloit_Health_System	$109	723%
Aspirus_Health_Plan	$110	729%
Cigna	$113	749%
Health_Partners_Insurance	$115	763%
Health_Payment_Systems	$115	763%
Dean_Health_Plan	$120	796%
Medical_Associates	$124	822%
Wps	$130 - $143	862%
Employers_Healthcare_Coalition_Of_Wi	$132	875%
Aspirus_Network_Inc	$145	962%
Chorus_Community	$150	995%
Ghc_Eau_Claire_Health_Plan	$150	995%
Multiplan	$150 - $173	995%
Sheybogan_Employers_Health_Network	$150	995%
Coventry	$160	1061%
Dean_Care	$160	1061%
Healthsmart	$165	1094%

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 $113.
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 University of Wi Hospitals & Clinics Authority 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.