CMS Price Transparency Data

Blood test, vitamin B12

Facility: San Gabriel Valley Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $18
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at San Gabriel Valley Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.19x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $78 (517%)
Insurance Median: $18 (119%)
Cash: $78 (517% of Medicare)
Ins. Median: $18 (119% 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
Veterans Administration $11 73%
Ahmc Medi-Cal Reciprocity $13 86%
Allied Physicians $13 - $23 86%
Altamed Health Network $13 - $15 86%
Beverly Hospital $13 - $17 86%
Brand New Day $13 - $91 86%
Emanate Health $13 - $19 86%
Healthnet Medi-Cal Non-Contract $13 86%
Healthy Way La $13 86%
Non Contracting Medi Cal $13 86%
Aetna $15 - $26 99%
Aids Healthcare Foundation $15 - $104 99%
Alignment Health Plan $15 99%
Apa/Aco Inc $15 99%
Avanti $15 - $18 99%
Blue Cross Blue Shield $15 - $73 99%
Blue Shield Of California $15 - $212 99%
Central Health Plan $15 - $156 99%
Cv-19 Hrsa Uninsured Testing And Tx $15 99%
Health Net $15 - $151 99%
Health Net Inc $15 - $35 99%
Hollywood Presbyterian Adv Med Mcal $15 99%
Hollywood Presbyterian Medpoint Mcal $15 99%
Humana $15 99%
Inter Valley Health Plan $15 99%
La Care Health Plan $15 99%
Medicaid / KanCare $15 99%
Medicare (plans) $15 99%
Molina Healthcare Of California $15 - $101 99%
Pacific Alliance Medical Center $15 99%
Pacificare Of California $15 - $85 99%
Physicians Healthways $15 99%
Providence Health Network $15 99%
Self-Pay $15 99%
St Vincent Medical Center/Psych $15 99%
Tricare $15 99%
Wellcare $15 99%
Cigna $17 113%
Athens Administrators $18 119%
Beech Street $18 - $208 119%
Chinatown Service Center Pace $18 119%
Other Non Contracting Workers Comp $18 119%
Ahmc Health Self-Insurance Epo $19 126%
Care 1St Health Plan $19 - $169 126%
Knox-Keene Act $19 126%
UnitedHealthcare $30 - $60 199%
Private Pay $44 292%
Ahmc Reciprocity $78 517%
Alignment Healthplan $91 603%
Clever Care $91 603%
Pacific Independent Physician Associates $104 690%
Facey Medical $130 862%
Community Care Network $169 1121%
Choicecare Network $182 1207%
Private Healthcare Systems (Phcs) $182 1207%
Affiliated Health Fund $195 1293%
Multiplan $234 1552%
Ppo Next $234 1552%
Managed Health Network $260 1724%
Medi-Cal Sub Acute $260 1724%
One Legacy $260 1724%
Other Non Contracted Commercial $260 1724%
Us Behavioral Health Plan $260 1724%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 438 W Las Tunas Drive, San Gabriel, CA 91776
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals