CMS Price Transparency Data

Blood test, vitamin B12

Facility: St Rose Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $14
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at St Rose Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.93x the Medicare baseline. Located in 27200 Calaroga Ave, Hayward, CA.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $17 (113%)
Insurance Median: $14 (93%)
Cash: $17 (113% of Medicare)
Ins. Median: $14 (93% 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 $2 - $54 13%
Healthnet Of California $3 - $75 20%
Interplan $3 - $75 20%
Cigna $4 - $80 27%
Kaiser Foundation Hospitals $4 - $86 27%
Multiplan Inc $4 - $82 27%
Preferred Health Network $4 - $91 27%
UnitedHealthcare $4 - $86 27%
Blue Cross Blue Shield $5 - $43 33%
Brown & Toland $5 - $15 33%
Centers For Elder Independence $5 - $14 33%
Humana $5 - $15 33%
Imperial Health Senior $5 - $15 33%
Medicare (plans) $5 - $15 33%
Canopy $9 - $29 60%
Blue Shield $12 - $38 80%
Blue Shield Affinity $12 - $38 80%
Blue Shield Hill $12 - $38 80%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 27200 Calaroga Ave, Hayward, CA 94545
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals