CMS Price Transparency Data

Blood test, vitamin B12

Facility: Beloit Health System

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $110
Cash Discount Price: $65
vs. Medicare Baseline: 7.29x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Beloit Health System is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 7.29x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$110

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: $65 (431%)

Insurance Median: $110 (729%)

Cash: $65 (431% of Medicare)

Ins. Median: $110 (729% 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 729% of the Medicare baseline (a markup of 629%). 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	$16 - $213	106%
Blue Cross Blue Shield	$16 - $119	106%
Cook Children'S Health Plan (Cchp)	$16 - $112	106%
Dean Health	$16 - $126	106%
Humana	$16 - $58	106%
Independent Care Health Plan	$16	106%
Managed Health Services	$16	106%
Molina Healthcare	$16	106%
Quartz	$16 - $146	106%
UnitedHealthcare	$16 - $168	106%
Wellcare	$16	106%
Naphcare	$24	159%
The Alliance	$62 - $63	411%
Wps	$69 - $166	458%
Wea Trust	$124	822%
Multiplan	$180	1194%
Health Eos	$200 - $204	1326%
Cigna	$207 - $213	1373%
Hfn	$207 - $213	1373%
Preferred Network Access	$207 - $213	1373%

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 $65.
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 Beloit Health System 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.