CMS Price Transparency Data

Blood test, vitamin B12

Facility: Saint Agnes Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $28
  • Cash Discount Price: $434
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Saint Agnes Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $434. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.86x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.
Cash / Self-Pay
$434

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $434 (2878%)
Insurance Median: $28 (186%)
Cash: $434 (2878% of Medicare)
Ins. Median: $28 (186% 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
St Agnes Nicu Valley Childrens Hospital $2 - $121 13%
Allegiance $3 - $143 20%
American Postal Workers Secondary $3 - $143 20%
Cba Network By Design $3 - $140 20%
Cigna $3 - $143 20%
Coventry $3 - $128 20%
Healthnet $3 - $151 20%
Interplan $3 - $167 20%
Multiplan $3 - $156 20%
Network Health $3 - $140 20%
Phcs $3 - $156 20%
Aetna $15 - $91 99%
Blue Cross Blue Shield $15 - $141 99%
Humana $15 99%
Medicare (plans) $15 - $16 99%
UnitedHealthcare $15 - $31 99%
Welbe Health $16 106%
Align Senior Care $17 113%
Correctcare Integrated Health $19 126%
Medi-Cal Healthnet $21 - $24 139%
Geha $25 166%
Kaiser Permanente $26 172%
Advantek Central Usd $37 245%
Blue Shield - Ca $43 - $141 285%
Meritain $86 570%
Trustmark Small Business Benefits $86 570%
Allied Benefit Systems $91 603%
Boon Chapman $91 603%
Hap $91 603%
Webtpa $91 603%
Blue Benefit Administrators Of Massachusetts $141 935%
Blue Care Network $141 935%
Blue Distinction Transplant $141 935%
Blue Shield - Id (Regence) $141 935%
Blue Shield - Ny Highmark Northeastern $141 935%
Blue Shield - Ny Highmark Western $141 935%
Blue Shield - Pa (Highmark) $141 935%
Blue Shield - Wa (Regence) $141 935%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals