CMS Price Transparency Data

Blood test, vitamin B12

Facility: UCSF Health St. Mary's Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $19
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at UCSF Health St. Mary's Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.26x the Medicare baseline. Located in 450 Stanyan St, San Francisco, CA.
Cash / Self-Pay
$274

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: $274 (1817%)
Insurance Median: $19 (126%)
Cash: $274 (1817% 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
Aetna $15 - $85 99%
Blue Cross Blue Shield $15 - $187 99%
Blue Shield Ca $15 - $151 99%
Brown Toland $15 99%
Chinese Community $15 - $122 99%
Connected Care $15 99%
Health Net $15 - $28 99%
Health Plan San Mateo $15 - $19 99%
Humana $15 99%
Kaiser $15 - $142 99%
Mhn $15 99%
United $15 - $18 99%
California Health & Wellness $19 126%
Partnership Health Plan $19 126%
Sfhp $19 126%
Kentfield $44 292%
Oscar $49 325%
Cigna $66 - $70 438%
Magellan $112 - $216 743%
Healthsmart $131 - $252 869%
Multiplan $155 - $299 1028%
Us Behavioral Health $187 1240%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals