Blood test, vitamin B12
Facility: Johnson Memorial Hospital
Billing Code: 82607 (CPT)
- CPT Billing Code: 82607
- Insurance Median: $32
- Cash Discount Price: $61
- vs. Medicare Baseline: 2.12x 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 212% of the Medicare baseline (a markup of 112%). 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 |
|---|---|---|
| Geha | $15 | 99% |
| Cca Senior Care Options | $15 | 99% |
| Medicare (plans) | $15 - $16 | 99% |
| Blue Cross Blue Shield | $15 - $32 | 99% |
| UnitedHealthcare | $15 - $111 | 99% |
| Cigna | $15 - $87 | 99% |
| Harvard Pilgrim Healthcare | $15 | 99% |
| Aetna | $15 - $30 | 99% |
| Centivo | $19 | 126% |
| Fallon Health | $20 | 133% |
| Connecticare | $25 - $28 | 166% |
| Allied Benefit Systems | $30 | 199% |
| Webtpa | $30 | 199% |
| Meritain | $30 | 199% |
| Luminare Health | $30 | 199% |
| Gravie Admin Services | $30 | 199% |
| Nippon Life Ins | $30 | 199% |
| 1199 National Benefit Fund | $30 | 199% |
| Hap | $30 | 199% |
| Claimdoc | $32 | 212% |
| Blue Distinction Transplant | $32 | 212% |
| Kaiser Domestic | $32 | 212% |
| Bcn Domestic | $32 | 212% |
| Health Choices | $32 | 212% |
| Innovative Health Plan II | $32 | 212% |
| Blue Shield - Id (Regence) | $32 | 212% |
| Blue Care Network | $32 | 212% |
| Blue Shield - PA (Highmark) | $32 | 212% |
| Blue Benefit Administrators of Massachusetts | $32 | 212% |
| Wellpoint | $32 | 212% |
| Diversified Administrators | $32 | 212% |
| Blue Shield - Ny Highmark Northeastern | $32 | 212% |
| Wc Domestic | $32 | 212% |
| Unicare | $32 | 212% |
| Blue Shield - Ca | $32 | 212% |
| Blue Shield - Wa (Regence) | $32 | 212% |
| Pre-Employment | $32 | 212% |
| Blue Shield - Ny Highmark Western | $32 | 212% |
| Connecticut Dept of Correction | $37 | 245% |
| Health New England | $72 | 477% |
| Allegiance | $86 | 570% |
| Magnacare | $86 | 570% |
| Health Partners | $86 | 570% |
| Prime Health Services | $89 | 590% |
| Multiplan | $92 | 610% |
| PHCS | $92 | 610% |
| Ghc Scw | $92 | 610% |
| Lifetime Benefit Solutions | $92 | 610% |
| Medi Share | $92 | 610% |
| Trinity Health Share | $92 | 610% |
| Christian Care Ministry | $92 | 610% |
| International Benefit Administrators | $92 | 610% |
| Pan-American Life | $92 | 610% |
| Pai | $92 | 610% |
| Paramount HMO | $92 | 610% |
| Asrm - Reliance Standard Life Insurance | $92 | 610% |
| Allied National Global Care | $92 | 610% |
| Dean Health | $92 | 610% |
| Family Life Insurance Company | $92 | 610% |
| Mvp | $92 | 610% |
| Manhattan Life | $92 | 610% |
| Health Smart | $94 | 623% |
| United Behavioral Health Eap | $111 | 736% |