CMS Price Transparency Data

Blood test, vitamin B12

Facility: Banner Estrella Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $22
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Banner Estrella Medical Center is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.46x the Medicare baseline. Located in 9201 West Thomas Road, Phoenix, AZ.
Cash / Self-Pay
$26

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: $26 (172%)
Insurance Median: $22 (146%)
Cash: $26 (172% 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
Aetna $15 - $86 99%
Arizona Physicians Ipa $15 99%
Banner Health $15 99%
Banner University Health Plan $15 99%
Blue Cross Blue Shield $15 - $69 99%
Care 1St $15 99%
Cigna $15 - $29 99%
Gila River Health Care Corporation $15 99%
Health Choice Arizona, Inc. $15 - $23 99%
Health Net $15 - $22 99%
Humana $15 - $16 99%
Kaiser Foundation Health Plan $15 99%
Mercy Care $15 99%
Triwest Healthcare Alliance Corp - Va Ccn $15 99%
UnitedHealthcare $15 - $34 99%
Upmc Health Plan $15 99%
Wellpoint $15 99%
Carelon $16 106%
Devoted Health Services $16 106%
Arizona Priority Care $17 113%
Gold Kidney Health Plan $17 113%
Naphcare $20 133%
Oscar Health Plan $25 166%
Hospice Of The Valley $57 378%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $74 491%
Plotkin Health $74 491%
Quiktrip Corporation $89 590%
Arizona Medical Network $115 763%
Provider Network Of America $123 816%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9201 West Thomas Road, Phoenix, AZ 85037
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals