Blood test, vitamin B12
Facility: Susan B Allen Memorial Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $554
- Cash Discount Price: $62
- vs. Medicare Baseline: 36.74x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 3674% of the Medicare baseline (a markup of 3574%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $350 | 2321% |
| Providrs Care | $757 | 5020% |
Consumer Guidance & Cost Commentary
For the vitamin B12 blood test at Susan B Allen Memorial Hospital in El Dorado, KS, the cash median price is $62.00, which is significantly lower than the facility's negotiated rates of $554.00 and the commercial payer ranges of $350 to $757. While the facility's cash price is notably lower than the state average, patients with high-deductible plans should consider paying cash upfront, as the commercial negotiated rates often exceed the cash price. To secure the best possible rate, patients should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
When reviewing your bill, it is crucial to request a detailed itemized statement rather than accepting a summary invoice that obscures individual charges. Since over 80% of hospital bills contain errors, such as unbundled codes or services not rendered, a line-by-line audit is the most effective way to identify and correct mistakes before payment. Additionally, this charge is compared against the Medicare benchmark of $15.08, which serves as the federal baseline for healthcare costs. Commercial rates are often marked up significantly above this baseline, so focusing on the Medicare amount rather than the gross chargemaster provides a more accurate picture of fair pricing.