CMS Price Transparency Data
Blood test, vitamin B12
Facility: Watsonville Community Hospital
Billing Code: 82607 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82607
- Insurance Median: $1,110
- Cash Discount Price: $1,113
- vs. Medicare Baseline: 73.61x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Watsonville Community Hospital is $1,110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,113. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 73.61x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$1,113
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,110
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: $1,113 (7381%)
Insurance Median: $1,110 (7361%)
Cash: $1,113 (7381% of Medicare)
Ins. Median: $1,110 (7361% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 7361% of the Medicare baseline (a markup of 7261%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ace-Usa | $15 | 99% |
| Alignment Health Plan | $15 | 99% |
| Beta Healthcare Group | $15 | 99% |
| Blue Shield Ppo | $15 - $48 | 99% |
| Crawford & Co | $15 | 99% |
| Fireman'S Fund Work Comp | $15 | 99% |
| Fleming & Associates | $15 | 99% |
| Gallagher Bassett Svcs | $15 | 99% |
| Hartford Workers' Comp | $15 | 99% |
| Health Net Of California | $15 - $1,163 | 99% |
| Keenan & Assoc Work Comp | $15 | 99% |
| Kemper Group Workers Comp | $15 | 99% |
| Liberty Mutual Work Comp | $15 | 99% |
| Medicare (plans) | $15 | 99% |
| Miscellaneous Work Comp | $15 | 99% |
| Nx Health Network | $15 | 99% |
| Pinnacle Healthcare Uc | $15 | 99% |
| Republic Idemnity W/Comp | $15 | 99% |
| Secure Horizons | $15 | 99% |
| Secure Horizons Dign Hmo | $15 - $371 | 99% |
| Travelers Insurance | $15 - $1,854 | 99% |
| Tricare | $15 | 99% |
| U.S. Dept. Of Labor | $15 | 99% |
| UnitedHealthcare | $15 - $1,113 | 99% |
| Veterans Administration | $15 | 99% |
| Western Growers Work Comp | $15 | 99% |
| Workers Comp | $15 | 99% |
| California Childrens Srvs | $19 | 126% |
| Ccs/Monterey County | $19 | 126% |
| Healthy Families | $19 - $48 | 126% |
| Medi-Cal E.R. | $19 | 126% |
| Medi-Cal/Eds | $19 | 126% |
| Medicaid / KanCare | $19 | 126% |
| Well Path | $19 - $1,854 | 126% |
| Alliance/Sccho | $21 | 139% |
| Bs Employee | $48 | 318% |
| Ufcw/Valley Clerks | $48 | 318% |
| United Agriculture | $48 | 318% |
| Blue Cross Blue Shield | $101 - $1,652 | 670% |
| Calif Ironworkers Field | $101 - $1,652 | 670% |
| Carpenters H&W Trust | $101 - $1,652 | 670% |
| City Of Wats/Pinnacle Clm | $101 - $1,652 | 670% |
| Claims Management Wc | $101 - $1,652 | 670% |
| Delta Health Systems | $101 - $1,652 | 670% |
| Laborers Health & Welfare | $101 - $1,652 | 670% |
| Monterey Bay Pub Emp Trst | $101 - $1,652 | 670% |
| Operating Engineers | $101 - $1,652 | 670% |
| Pinnacle Claims Tpa/Bc | $101 - $1,652 | 670% |
| Robert Kennedy/Ccn | $101 - $1,652 | 670% |
| Sheet Metal Workers | $101 - $1,652 | 670% |
| State Compensation Fund | $101 - $1,652 | 670% |
| Teamsters Benefit Trust | $101 - $1,652 | 670% |
| Western Growers Trust/Bc | $101 - $1,652 | 670% |
| Medicruz | $334 | 2215% |
| Victim Compensation Plan | $334 - $1,854 | 2215% |
| Aetna | $371 - $1,521 | 2460% |
| Blue Shield Hmo | $371 | 2460% |
| Cigna | $371 - $1,298 | 2460% |
| Great-West/Phcs | $371 - $1,298 | 2460% |
| Health Net Pmg Hmo | $371 - $1,163 | 2460% |
| Pacificare Hmo | $371 - $1,113 | 2460% |
| Western Health Advantage | $927 | 6147% |
| Health Net Smartcare Netw | $1,113 | 7381% |
| Pacificare Ppo | $1,113 | 7381% |
| Self Pay | $1,113 | 7381% |
| Health Net Blue And Gold | $1,163 | 7712% |
| Health Net Canopycare Hmo | $1,163 | 7712% |
| Adventist Risk Management | $1,298 - $1,484 | 8607% |
| First Health | $1,298 - $1,484 | 8607% |
| Geha (Ccn) | $1,298 - $1,484 | 8607% |
| Transwestern | $1,298 - $1,484 | 8607% |
| Multiplan Inc Ppo | $1,446 | 9589% |
| Private Healthcare System | $1,446 | 9589% |
| Coastal Healthcare Admin | $1,576 - $1,669 | 10451% |
| Salinas Valley Mem Hops | $1,576 | 10451% |
| Aaa | $1,854 | 12294% |
| Aarp | $1,854 | 12294% |
| Allstate | $1,854 | 12294% |
| Apwu Health Plan | $1,854 | 12294% |
| Bankers Life & Casualty | $1,854 | 12294% |
| Farmers Insurance | $1,854 | 12294% |
| Humana | $1,854 | 12294% |
| Miscellaneous Auto | $1,854 | 12294% |
| Miscellaneous Insurance | $1,854 | 12294% |
| North Calif Bakery Driver | $1,854 | 12294% |
| Physicians Mutual | $1,854 | 12294% |
| Prucare Pmg Hmo | $1,854 | 12294% |
| Prucare Pmg Pos | $1,854 | 12294% |
| State Farm Ins | $1,854 | 12294% |
| Sutter Health Plus | $1,854 | 12294% |
| United Administrative | $1,854 | 12294% |
| Wholesale Beer Distributo | $1,854 | 12294% |
| Zenith National Ins | $1,854 | 12294% |