CMS Price Transparency Data

Blood test, vitamin B12

Facility: AHMC Seton Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $19
  • Cash Discount Price: $170
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at AHMC Seton Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.26x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$170

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: $170 (1127%)
Insurance Median: $19 (126%)
Cash: $170 (1127% 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

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
Veterans Administration (Va) $11 73%
Medi-Cal $13 86%
Aetna $15 - $46 99%
Apcmg $15 - $23 99%
Asian American Medical Group $15 - $19 99%
Blue Cross Blue Shield $15 - $162 99%
Blue Shield Of California $15 - $192 99%
Brand New Day $15 - $19 99%
Brown And Toland Medical Group $15 - $19 99%
Canopy Health $15 - $27 99%
Care Advantage $15 99%
Chinese Community Health Plan $15 - $106 99%
Cmac $15 99%
Covid-19 Uninsured Program $15 99%
Easy Choice Hospital Services $15 99%
For Your Benefit $15 99%
Healthnet Seniority $15 99%
Hill Physicians Medical Group Inc $15 - $17 99%
Humana $15 99%
Imperial Health Plan $15 99%
Jade Health Care Mg $15 - $106 99%
Kaiser $15 - $175 99%
Medicare (plans) $15 99%
North East Medical Services $15 - $19 99%
Pacificare $15 99%
UnitedHealthcare $15 - $30 99%
Central Health Plan $16 106%
San Mateo County/San Mateo County General Hospital $16 106%
Athens Administrators $18 119%
Corvel Healthcare $18 119%
Multiplan/Bce Emergis $18 - $160 119%
Tricare $18 119%
Work Comp Other $18 119%
Ahmc Health $19 126%
Health Plan Of San Mateo Healthworx $19 126%
Knox-Keene Act $19 126%
San Francisco Health Plan $19 126%
Health Plan Of San Mateo $21 139%
Self Pay $32 - $72 212%
Cigna $78 517%
Interplan Corporation $128 849%
Healthcare Foundation Of San Mateo $149 - $160 988%
Private Healthcare Sytems Inc $160 1061%
The First Health Network $160 1061%
Health Net $163 1081%
Beech Street Corporation $170 1127%
Choicecare Network $181 1200%
Multiplan $181 1200%
Mills Peninsula Health Services $192 1273%
Indemnity $213 1412%
Workers Compensation Federal $213 1412%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals