CMS Price Transparency Data

Blood test, vitamin B12

Facility: Crossing Rivers Health Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $181
Cash Discount Price: $190
vs. Medicare Baseline: 12.00x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Crossing Rivers Health Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 12.00x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$190

Average discount available for prompt cash payment at this facility.

Insurance Median

$181

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: $190 (1260%)

Insurance Median: $181 (1200%)

Cash: $190 (1260% of Medicare)

Ins. Median: $181 (1200% 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 1200% of the Medicare baseline (a markup of 1100%). 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
Amerigroup Mcaid-All Other Plans	$22	146%
Iowa Total Care Mcaid-All Plans	$22	146%
Amerigroup Mcr Adv	$80	531%
Blue Cross Blue Shield	$80 - $184	531%
Security Hlth Mcr Adv	$80	531%
UnitedHealthcare	$80	531%
Humana	$81 - $183	537%
Quartz - All Plans	$152	1008%
Dean Health Plan - All Plans	$181	1200%
Medica Comm - All Other Plans	$181	1200%
Medica Hp Solutions	$181	1200%
Security Hlth Comm - All Other Plans	$181	1200%
Health Trad Hp - All Plans	$183	1214%
Wea Provider Ntwrk - All Plans	$183	1214%
First Health - All Plans	$184	1220%
Geha - All Plans	$184	1220%
Group Health Co-Op - All Plans	$184	1220%
Health Partners - All Plans	$184	1220%
Medical Associates Hp - All Plans	$184	1220%
Wps - All Plans	$184	1220%
Cigna	$185	1227%
Preferred Health Choice - All Plans	$185	1227%

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 $190.
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 Crossing Rivers Health Medical Center 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.