CMS Price Transparency Data

Blood test, vitamin B12

Facility: Oro Valley Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $22
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Oro Valley Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.46x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $178 (1180%)
Insurance Median: $22 (146%)
Cash: $178 (1180% of Medicare)
Ins. Median: $22 (146% 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.

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
UnitedHealthcare $14 - $18 93%
Aetna $15 - $103 99%
Blue Cross Blue Shield $15 - $83 99%
Caremore Health Plan $15 99%
Cigna $15 - $24 99%
Clover Health Mcr Adv $15 99%
Department Of Veterans Affairs $15 99%
Fresenius Health $15 99%
Humana $15 99%
Medicaid / KanCare $15 - $16 99%
Medicare (plans) $15 99%
Node Devoted Health Mcr Adv $15 99%
Node Non Par Hospice Agree $15 99%
Node Triwest $15 99%
Node Va $15 99%
Pascua Yaqui Tribe $15 99%
Scan Health $15 99%
Tricare $15 99%
Veterans Eval Services $15 99%
Magellan $16 - $324 106%
Node Banner Mcr Adv $16 106%
Wellcare Mcr Adv $16 106%
Node Us Dept Of Labor $19 126%
Ambetter / Centene $21 139%
Node Health Choice Exchange $22 146%
Node Fusion Network $27 179%
Node J Allen Inmate Health Svcs $29 192%
Health Net $32 212%
Seven Corners $35 232%
Self Pay $130 - $227 862%
Beacon Health Options $270 1790%
Mtc $270 1790%
First Health Coventry $284 1883%
Coventry Work Comp Al $324 2149%
Multiplan $448 2971%
Prime Health $459 3044%
Three Rivers $459 3044%
Healthsmart $486 3223%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals