CMS Price Transparency Data

Blood test, vitamin B12

Facility: Northwest Medical Center Sahuarita

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $154
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Northwest Medical Center Sahuarita is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $154. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$154

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $154 (1021%)
Insurance Median: $15 (99%)
Cash: $154 (1021% of Medicare)
Ins. Median: $15 (99% 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 - $23 99%
Blue Cross Blue Shield $15 - $72 99%
Cigna $15 - $24 99%
Department Of Veterans Affairs $15 99%
Humana $15 99%
Medicaid / KanCare $15 - $16 99%
Medicare (plans) $15 99%
Mercy Care $15 99%
Node Caremore Mcr Adv $15 99%
Node Champva $15 99%
Node Clover Health Mcr Adv $15 99%
Node Devoted Health Mcr Adv $15 99%
Node Mercy Care Mcr Adv $15 99%
Node Non Par Hospice Agree $15 99%
Node Triwest $15 99%
Node Va $15 99%
Tricare $15 99%
Banner Mcr Adv $16 106%
Node Banner Mcr Adv $16 106%
Node Wellcare Mcr Adv $16 106%
Node Us Dept Of Labor $19 126%
Ambetter / Centene $21 139%
Node Health Choice Health Exchange $22 146%
Node Fusion Network $27 179%
Node J Allen Inmate Health Svcs $29 192%
Self Pay $97 - $211 643%
Coventry Work Comp Al $324 2149%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals