CMS Price Transparency Data
Blood test, vitamin B12
Facility: John Muir Medical Center - Walnut Creek Campus
Billing Code: 82607 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82607
- Insurance Median: $16
- Cash Discount Price: $13
- vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at John Muir Medical Center - Walnut Creek Campus is $16. 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 1.06x the Medicare baseline. Located in 1601 Ygnacio Valley Rd, Walnut Creek, CA.
Cash / Self-Pay
$13
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
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: $16 (106%)
Cash: $13 (86% of Medicare)
Ins. Median: $16 (106% 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 |
|---|---|---|
| Aps Healthcare [1003103] | $4 - $402 | 27% |
| Carecentrix [1011001] | $4 - $358 | 27% |
| Generic Commercial/Indemnity [1017001] | $4 - $358 | 27% |
| UnitedHealthcare | $4 - $523 | 27% |
| Carelon Behavioral Health [1050104] | $5 - $492 | 33% |
| Cigna | $5 - $640 | 33% |
| Contra Costa Health Plan Hmo [1013103] | $5 - $537 | 33% |
| Fortified Provider Network [1063104] | $5 - $492 | 33% |
| Health Net Hmo [1028103] | $5 - $510 | 33% |
| Health Net-Network [1028026] | $5 - $510 | 33% |
| Medigap [1036001] | $5 - $492 | 33% |
| Three Rivers Provider Network [1073104] | $5 - $492 | 33% |
| United Behavioral Health [1048103] | $5 - $450 | 33% |
| Aetna | $6 - $647 | 40% |
| Blue Cross Blue Shield | $6 - $581 | 40% |
| Blue Shield Hmo [1006103] | $6 - $568 | 40% |
| Blue Shield Ppo [1006104] | $6 - $658 | 40% |
| Blue Shield-Network [1006026] | $6 - $568 | 40% |
| Western Health Advantage Hmo [1053103] | $6 - $715 | 40% |
| Federal Correction Institute [1062104] | $7 - $715 | 46% |
| First Health [1016104] | $7 - $760 | 46% |
| Health Net Ppo [1028104] | $7 - $649 | 46% |
| Healthsmart - Pka Interplan [1031104] | $7 - $715 | 46% |
| Humana | $7 - $742 | 46% |
| Kaiser Hmo [1033103] | $7 - $724 | 46% |
| Medicare (plans) | $7 - $715 | 46% |
| National Provider Network/Plancare America [1069104] | $7 - $715 | 46% |
| Networks By Design [1084104] | $7 - $715 | 46% |
| Pponext [1072104] | $7 - $715 | 46% |
| Sutter Preferred Health Plan [1044104] | $7 - $715 | 46% |
| Galaxy Health Network [1064104] | $8 - $805 | 53% |
| Health Management Network [1066104] | $8 - $760 | 53% |
| Healthcomp [1089104] | $8 - $760 | 53% |
| Integrated Health Plan [1075104] | $8 - $805 | 53% |
| Contra Costa County Jail [1012104] | $13 | 86% |
| Alignment Health [1177113] | $15 | 99% |
| Blue Shield-Network Mcare [1006127] | $15 | 99% |
| Care 1St Health Plan [1094113] | $15 | 99% |
| Caremore [1171113] | $15 | 99% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [1179012] | $15 | 99% |
| Easy Choice Health Plan [1083113] | $15 | 99% |
| Essence Healthcare [1049028] | $15 | 99% |
| Essence Healthcare [1049128] | $15 | 99% |
| Golden State-Network Mcare [1023127] | $15 | 99% |
| Health Net-Network Mcare [1028127] | $15 | 99% |
| Hospice Of East Bay [1085104] | $15 | 99% |
| Scan-Network Mcare [1043127] | $15 | 99% |
| Veterans Administration [1051113] | $15 | 99% |
| Jmpn Canopy Hn [1640000011] | $17 | 113% |
| Generic Hmo [1018103] | $19 | 126% |
| Generic Ppo [1021104] | $19 | 126% |
| Canopy Hn Hmo [1166103] | $28 | 186% |
| Brms [1091104] | $203 | 1346% |
| Delta Health Systems [1032104] | $203 | 1346% |
| Empire Plan [1092104] | $203 | 1346% |
| Donor Network West [1008103] | $4,000 - $12,000 | 26525% |