CMS Price Transparency Data

Blood test, vitamin B12

Facility: Adventist Health Lodi Memorial

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Adventist Health Lodi Memorial is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$21

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $21 (139%)
Insurance Median: $15 (99%)
Cash: $21 (139% of Medicare)
Ins. Median: $15 (99% 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
Medcore(Omni Ipa) Op Only- All Plans $3 - $193 20%
Blue Shield Epn - All Other Plans $4 - $240 27%
Blue Shield Non-Epn $4 - $249 27%
Kaiser Commercial - All Other Plans $5 - $304 33%
UnitedHealthcare $5 - $308 33%
Bc Mcal $6 40%
Healthnet- All Other Plans $6 - $364 40%
Networks By Design- All Plans $6 - $371 40%
First Health- All Plans $10 - $608 66%
Multiplan- All Plans $10 - $594 66%
Beech Street- All Plans $11 - $668 73%
Cigna $11 - $668 73%
Hp Of San Joaquin Ppo - All Other Plans $11 - $705 73%
Three Rivers Provider Network- All Plans $11 - $668 73%
Western Growers- All Plans $11 - $668 73%
Celtic Ins Company - All Plans $12 - $19 80%
Healthnet Mcal $12 - $25 80%
Hp Of San Joaquin Mcal $12 - $22 80%
Kaiser Mcal $12 - $17 80%
Medi-Cal $12 - $17 80%
Alignment Health Plan (Ahp)-All Plans $15 99%
Blue Shield Mcare Adv $15 99%
Cca Health Plan Mcr Adv- All Plans $15 99%
Healthnet Mcare $15 99%
Hp Of San Joaquin Mcr Adv $15 99%
Humana $15 99%
Kaiser Mcr Adv $15 99%
Tricare $15 99%
Knnex Health - All Plans $18 119%
Ah Employee Health Plan - All Plans $27 179%
Bright Health - All Plans $30 199%
Aetna $50 332%
Blue Cross Blue Shield $149 - $166 988%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals