CMS Price Transparency Data

Blood test, vitamin B12

Facility: City of Hope National Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $17
Cash Discount Price: $57
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at City of Hope National Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.13x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $57 (378%)

Insurance Median: $17 (113%)

Cash: $57 (378% of Medicare)

Ins. Median: $17 (113% 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
Blue Cross Blue Shield	$4 - $151	27%
Heritage Provider Network	$4 - $74	27%
Blue Shield	$5 - $136	33%
Blue Shield Covca	$5 - $64	33%
UnitedHealthcare	$5 - $59	33%
Blue Shield Promise	$6 - $74	40%
Cencal	$7 - $84	46%
Inland Empire	$7 - $84	46%
La Care Health	$7 - $84	46%
Aetna	$8 - $105	53%
Gold Coast	$8 - $105	53%
Health Net	$8 - $102	53%
Kaiser	$8 - $95	53%
Molina	$8 - $137	53%
Prime Healthcare Keenan	$8 - $101	53%
Cigna	$9 - $113	60%
Healthcare Partners	$10 - $122	66%
St. Joseph Heritage	$10 - $126	66%
Primecare Medical Network	$11 - $137	73%
First Health	$13 - $162	86%
Cal Optima	$15 - $19	99%
Phcs Multiplan	$15 - $189	99%
Facey	$17 - $20	113%

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 $57.
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 City of Hope National 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.