CMS Price Transparency Data

Blood test, vitamin B12

Facility: Columbus Community Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $53
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 3.51x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Columbus Community Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 3.51x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $121 (802%)
Insurance Median: $53 (351%)
Cash: $121 (802% of Medicare)
Ins. Median: $53 (351% 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 351% of the Medicare baseline (a markup of 251%). 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
Dean Health Plan $15 - $130 99%
My Choice Wisconsin $15 - $18 99%
Quartz $15 - $145 99%
Security Health Plan $15 - $164 99%
UnitedHealthcare $15 - $183 99%
Blue Cross Blue Shield $18 - $169 119%
Icare $18 - $64 119%
Alliance $43 285%
Cigna $132 875%
Health Payment Systems $165 1094%
Trilogy $180 1194%
Wps $185 1227%
Healtheos $191 - $205 1267%
First Health $194 1286%
Humana $198 1313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Park Ave, Columbus, WI 53925
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals