CMS Price Transparency Data

Blood test, vitamin B12

Facility: Bellin Health Oconto Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $51
Cash Discount Price: $47
vs. Medicare Baseline: 3.38x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Bellin Health Oconto Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 3.38x the Medicare baseline. Located in 820 Arbutus Ave, Oconto, WI.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $47 (312%)

Insurance Median: $51 (338%)

Cash: $47 (312% of Medicare)

Ins. Median: $51 (338% 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 338% of the Medicare baseline (a markup of 238%). 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
Blue Cross Blue Shield	$21 - $30	139%
Community Care	$21 - $28	139%
Humana	$21 - $28	139%
My Choice	$21 - $28	139%
Network Health	$21 - $71	139%
UnitedHealthcare	$25 - $58	166%
Aetna	$31 - $42	206%
Cigna	$44 - $60	292%
Common Ground	$45 - $62	298%
Chorus Community Health Plan	$46 - $62	305%
Aspirus Arise	$49 - $65	325%
Healthsmart	$50 - $66	332%
Ihs(Claimsbridge)	$50 - $66	332%
Medical College Of Wi	$50 - $66	332%
Hps/Paymedix	$51 - $74	338%
Wps Insurance	$52 - $70	345%
Allied National	$53 - $71	351%
First Health	$53 - $71	351%
Galaxy Health	$53 - $71	351%
Three Rivers Provider Network	$56 - $75	371%
Trilogy	$56 - $75	371%

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 $47.
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 Bellin Health Oconto Hospital 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.