Blood test, vitamin B12
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $15
- Cash Discount Price: $34
- vs. Medicare Baseline: 0.99x 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.
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 |
|---|---|---|
| Smarthealth | $14 - $21 | 93% |
| UnitedHealthcare | $15 - $42 | 99% |
| Providrs Care | $15 | 99% |
| Va | $15 | 99% |
| Medicare (plans) | $15 | 99% |
| Humana | $15 | 99% |
| Medicaid / KanCare | $16 | 106% |
| Aetna | $16 | 106% |
| Ambetter / Centene | $26 | 172% |
| Blue Cross Blue Shield | $71 - $76 | 471% |
Consumer Guidance & Cost Commentary
For the CPT code 82607, representing a blood test for vitamin B12, Ascension Via Christi Hospital Manhattan, Inc. lists a gross charge of $84.00. This amount is significantly higher than the facility's cash median of $34.00, which may offer a lower out-of-pocket cost for patients with high-deductible plans or those paying directly. While the facility's negotiated rates for commercial payers range from $14 to $76, these figures are generally higher than the cash price due to administrative costs and contract structures. It is important to note that commercial negotiated rates often average 200% to 300% of Medicare rates, whereas fair pricing is typically defined as 120% to 150% of the Medicare benchmark. In this case, the Medicare amount is $15.08, providing a clear baseline to evaluate the markup on commercial contracts.
Patients should be aware that hospitals often issue summary bills that obscure individual code costs, making it difficult to identify errors or unbundled charges. To protect against overcharging, consumers should request a full itemized bill before paying, ensuring every service corresponds to a specific CPT code. Additionally, many facilities offer prompt-pay discounts of 20% to 50% for upfront cash payments, which can bypass the administrative overhead of insurance billing cycles. Before scheduling, it is advisable to verify the specific self-pay or prompt-pay rates directly with the hospital, as waiting until after a claim is processed may void these discounts. This facility is located in Manhattan, KS (zip 66502), and operates as a voluntary non-profit acute care hospital.