CMS Price Transparency Data
Blood test, vitamin B12
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 82607 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82607
- Insurance Median: $19
- Cash Discount Price: $158
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at AHMC Anaheim Regional Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.26x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$158
Average discount available for prompt cash payment at this facility.
Insurance Median
$19
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: $158 (1048%)
Insurance Median: $19 (126%)
Cash: $158 (1048% of Medicare)
Ins. Median: $19 (126% 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
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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 |
|---|---|---|
| Netcare Life And Health Insurance | $6 - $42 | 40% |
| Advance Clinical Research Institute | $8 - $50 | 53% |
| Ahmc Reciprocity Agreement | $8 - $50 | 53% |
| Memorial Healthcare Ipa | $8 - $50 | 53% |
| Medical Acquisition Company | $10 - $66 | 66% |
| Veterans Administration | $11 | 73% |
| Affiliated Doctors Of Orange County | $12 | 80% |
| Allied Physicians | $13 - $23 | 86% |
| Altamed Health Network | $13 - $15 | 86% |
| Applecare Medical Group | $13 | 86% |
| Beverly Hospital | $13 - $17 | 86% |
| Brand New Day | $13 - $19 | 86% |
| Health Net | $13 | 86% |
| Healthcare Partners | $13 - $15 | 86% |
| Healthy Way La | $13 | 86% |
| Heritage Provider Network | $13 - $20 | 86% |
| Kaiser Foundation Hospitals | $13 - $15 | 86% |
| Medical Safety Net Program | $13 | 86% |
| Medicare (plans) | $13 - $83 | 86% |
| Non Contracted Medi-Cal | $13 | 86% |
| Talbert Medical Group | $13 - $15 | 86% |
| Alta Los Angeles Hospital | $14 | 93% |
| Davita Heatlhcare Partners Plan Inc | $14 - $90 | 93% |
| Healthcare Partners Commercial | $14 - $90 | 93% |
| Huntington Memorial Hospital | $14 - $90 | 93% |
| Prospect Health Plan | $14 - $20 | 93% |
| Prospect Medical Group | $14 | 93% |
| Aetna | $15 - $82 | 99% |
| Aids Health Foundation | $15 | 99% |
| Alignment Health Plan | $15 | 99% |
| Angels Baseball Workers Comp | $15 | 99% |
| Apa Aco Inc | $15 | 99% |
| Avanti | $15 - $18 | 99% |
| Blue Cross Blue Shield | $15 - $56 | 99% |
| Blue Shield Of California | $15 - $203 | 99% |
| California Health Plan | $15 | 99% |
| Caloptima | $15 - $19 | 99% |
| Central Health Of California | $15 | 99% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $15 | 99% |
| Emanate Health | $15 - $19 | 99% |
| Genesis Healthcare Ipa Ancillary | $15 - $100 | 99% |
| Health Net Inc | $15 - $127 | 99% |
| Healthnet | $15 | 99% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $15 | 99% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $15 | 99% |
| Hollywood Presbyterian Medpoint Mcal | $15 | 99% |
| Humana | $15 | 99% |
| Innovative Integrated Health (Iih)/Orange County Pace | $15 | 99% |
| Medi-Cal | $15 | 99% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $15 | 99% |
| Monarch Health Plan | $15 - $113 | 99% |
| Pacificare | $15 | 99% |
| Private Pay Flat Rate | $15 | 99% |
| Scan Health Plan | $15 | 99% |
| Self-Pay | $15 | 99% |
| Seoul Medical Group | $15 | 99% |
| Wellcare | $15 | 99% |
| Align Senior Care | $16 | 106% |
| Interplan | $16 - $116 | 106% |
| Nchp | $16 | 106% |
| Tricare | $16 | 106% |
| Cigna | $17 - $18 | 113% |
| Affiliated Health Fund | $18 - $116 | 119% |
| Allnet Preferred Provider | $18 - $116 | 119% |
| Athens Administrators | $18 | 119% |
| Capp Care | $18 - $124 | 119% |
| Care First | $18 - $116 | 119% |
| Corvel | $18 - $124 | 119% |
| First Health | $18 - $141 | 119% |
| Marriot Intl | $18 | 119% |
| Non Contracted Workers Comp | $18 | 119% |
| Orange County Preferred Provider Organization | $18 - $124 | 119% |
| Private Healthcare Systems | $18 - $116 | 119% |
| Ahmc Health Self-Insurance Epo | $19 | 126% |
| Choicecare | $19 - $124 | 126% |
| Knox-Keene Act | $19 | 126% |
| Multiplan Inc | $19 - $124 | 126% |
| National Provider Network | $20 - $133 | 133% |
| Three Rivers Providers Network | $20 - $133 | 133% |
| Health Payors Organization | $23 - $149 | 153% |
| Non Contracted Commercial | $25 - $166 | 166% |
| UnitedHealthcare | $30 - $60 | 199% |
| Monarch Healthcare Medical Group | $38 | 252% |
| Msi/Medical Services For Indigents | $52 | 345% |