CMS Price Transparency Data

Blood test, vitamin B12

Facility: Alhambra Hospital Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $18
  • Cash Discount Price: $412
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Alhambra Hospital Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $412. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.19x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$412

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: $412 (2732%)
Insurance Median: $18 (119%)
Cash: $412 (2732% 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
Stewart Mg Senior Hmo $11 73%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $13 86%
Citrus Valley Health Partners $13 86%
Kaiser Medi-Cal $13 86%
La Care Pasc Seiu Misc $13 86%
Miscellaneous Medi-Cal Hmo $13 86%
Blue Shield 65 Plus $14 93%
Aetna $15 - $25 99%
Allied Physicians Of Ca Medi-Cal $15 99%
Altamed Senior Services $15 99%
Apa Aco $15 99%
Blue Cross Blue Shield $15 - $28 99%
Brand New Day Sr $15 99%
Central Health Plan Of Ca Senior Hmo $15 99%
Health Net Medi-Cal $15 99%
Health Net Senior Hmo $15 99%
Humana $15 99%
La Care Exchange $15 99%
La Care Medi-Cal Hmo $15 99%
Medi-Cal $15 99%
Medicare (plans) $15 - $247 99%
Miscellaneous Senior Hmo $15 99%
UnitedHealthcare $15 - $30 99%
Wellcare Senior Hmo $15 99%
Alignment Senior Hmo $16 106%
Cigna $17 - $185 113%
Tricare $17 113%
Health Net Salud Con Hmo $18 119%
Miscellaneous Work Comp Hmo $18 119%
Molina Exchange $18 119%
Health Net Exchange $19 126%
Ahmc Health $22 146%
Allied Physicians Of Ca Commercial $23 153%
Health Net Ppo/Epo/Pos $31 206%
Ahmc-Reciprocity-Comm/Senior $124 822%
Allied Physicians Comm/Sr $144 955%
Allied Physicians Medi-Cal $144 955%
Wellcare Allied Senior Hmo $144 955%
Molina Health Plan $161 1068%
Self Pay $165 1094%
Health Net Exchange Enhanced Ppo $175 1160%
Blue Shield Value Network Exchange $188 1247%
Blue Shield Hmo/Ppo $210 1393%
Kaiser Commercial $255 1691%
Scan Senior Plan $268 1777%
Multiplan $330 2188%
Miscellaneous Commercial Ppo/Hmo $412 2732%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals