CMS Price Transparency Data

Blood test, vitamin B12

Facility: El Centro Regional Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $15
Cash Discount Price: $13
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at El Centro Regional Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.

Cash / Self-Pay

$13

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: $13 (86%)

Insurance Median: $15 (99%)

Cash: $13 (86% 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.

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
Aetna	$2 - $14	13%
Pacificare-All Plans	$3 - $20	20%
UnitedHealthcare	$3 - $16	20%
Cigna	$4 - $24	27%
Mulitplan Primary - All Other Plans	$4 - $22	27%
Multiplan Comp	$4 - $26	27%
Trident - All Plans	$4 - $27	27%
Ahccs/Medi-Cal Misc - All Plans	$5 - $32	33%
Ambetter / Centene	$5 - $33	33%
Blue Cross Blue Shield	$5 - $32	33%
Brand New Day Mcal	$5 - $32	33%
Healthnet Comm-All Other Plans	$5 - $29	33%
Humana	$5 - $30	33%
Medi-Cal	$5 - $32	33%
Molina Exchange - All Other Plans	$5 - $32	33%
Molina Mcal	$6 - $35	40%
Brand New Day Comm - All Other Plans	$15	99%
Brand New Day Mcr	$15	99%
Healthnet Mcr Adv	$15	99%
Molina Mcr Adv	$15	99%
Scp Managed Care - All Plans	$15	99%
Tricare	$15	99%
Easy Choice Mcr Adv-All Plans	$17	113%
Healthnet Hmo	$19	126%
Cdcr Correctional-All Plans	$20	133%
Blue Shield-All Plans	$95	630%

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 $13.
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 El Centro Regional Medical Center 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.