CMS Price Transparency Data

Blood test, vitamin B12

Facility: Riverside Community Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $19
  • Cash Discount Price: $412
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Riverside Community Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $412. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.26x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.
Cash / Self-Pay
$412

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $412 (2732%)
Insurance Median: $19 (126%)
Cash: $412 (2732% of Medicare)
Ins. Median: $19 (126% 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
Bristol Hospice $12 80%
Aetna $15 - $129 99%
Alignment Health Plan $15 99%
Blue Cross Blue Shield $15 - $78 99%
Blue Shield $15 - $165 99%
Brand New Day $15 - $19 99%
Care1St Health Plan $15 99%
Central Health Plan $15 99%
Clever Care Of Golden State $15 99%
Easy Choice Health Plan $15 99%
Heritage Provider Network $15 - $21 99%
Humana $15 99%
Redlands Community Hospital $15 99%
Riverside Medical Clinic $15 - $18 99%
Riverside Physician $15 99%
Scan Health Plan $15 99%
Triwest Healthcare Alliance $15 99%
United $15 - $189 99%
UnitedHealthcare $15 99%
Health Net $16 - $160 106%
Medcare Partners $16 - $108 106%
La Care Health $17 113%
Molina $17 113%
Corvel Corporation $18 119%
Healthsmart $18 - $574 119%
Next $18 - $574 119%
Inland Empire Health Plan $25 - $26 166%
Bright Health $38 252%
Cigna $42 279%
First Health $47 - $645 312%
American Health System $48 - $323 318%
Multiplan $86 - $609 570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4445 Magnolia Avenue, Riverside, CA 92501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals