CMS Price Transparency Data

Blood test, vitamin B12

Facility: Paradise Valley Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Paradise Valley Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$15

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: $15 (99%)
Insurance Median: $15 (99%)
Cash: $15 (99% 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
Aetna $15 - $19 99%
Blue Sheid Of Promise $15 99%
Blue Shield Of Ca, Va $15 99%
Brand New Day $15 - $23 99%
Ca Dept Of Correction & Rehab $15 - $21 99%
Ca Foundation For Medical Care $15 99%
Central Health $15 99%
Choice Physicians Network $15 99%
Clever Care Of Golden State, Inc $15 99%
Community Health Group $15 - $18 99%
County Of San Diego $15 99%
Employer Direct Healthcare $15 - $21 99%
Golden Physicians Medical Group $15 - $19 99%
Health Excel Ins $15 99%
Health Net Federal Service (Cdcr) $15 - $19 99%
Health Net Of Ca $15 - $22 99%
Heritage Provider Netwrok $15 - $20 99%
Imperial Health Plan Of Ca $15 - $16 99%
Integrated Medical Solutions $15 - $20 99%
Managed Health Network $15 99%
Medicare (plans) $15 99%
Molina $15 99%
Naphcare $15 - $30 99%
Renal Payer Solutions $15 99%
Scripps Health $15 - $26 99%
Traditional Medi-Cal $15 99%
Tricare $15 99%
UnitedHealthcare $15 - $26 99%
Usa Senior Care Network $15 99%
Verda Health Plan $15 99%
Veterans Evaluation Services $15 - $19 99%
Worker Comp $15 - $20 99%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals