CMS Price Transparency Data

Blood test, vitamin B12

Facility: Copper Queen Community Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $47
Cash Discount Price: $143
vs. Medicare Baseline: 3.12x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Copper Queen Community Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 3.12x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.

Cash / Self-Pay

$143

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $143 (948%)

Insurance Median: $47 (312%)

Cash: $143 (948% of Medicare)

Ins. Median: $47 (312% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 312% of the Medicare baseline (a markup of 212%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Allwell	$17 - $29	113%
Amerigroup	$17 - $29	113%
Azch Complete	$17 - $29	113%
Banner Uc Health	$17 - $29	113%
Humana	$17 - $29	113%
Triwest	$17 - $29	113%
UnitedHealthcare	$19 - $105	126%
Copperpoint	$27 - $45	179%
Bisbee Police	$28 - $47	186%
Aetna	$30 - $162	199%
Health Net Of Az	$30 - $108	199%
Apipa	$40 - $67	265%
Cigna	$70 - $117	464%
Blue Cross Blue Shield	$73 - $122	484%
Self Pay	$86 - $144	570%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $143.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Copper Queen Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.