CMS Price Transparency Data
Blood test, vitamin B12
Facility: Clovis Community Medical Center
Billing Code: 82607 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82607
- Insurance Median: $15
- Cash Discount Price: $138
- vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Clovis Community Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$138
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: $138 (915%)
Insurance Median: $15 (99%)
Cash: $138 (915% 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 |
|---|---|---|
| Blue Cross Blue Shield | $13 - $110 | 86% |
| Blue Shield | $13 - $98 | 86% |
| Cal Caloptima | $13 | 86% |
| Ccs Fresno | $13 | 86% |
| Ccs Kern | $13 | 86% |
| Ccs Kings | $13 | 86% |
| Ccs Madera/Sacramento | $13 | 86% |
| Ccs Mariposa | $13 | 86% |
| Ccs Merced | $13 | 86% |
| Ccs Stanislaus | $13 | 86% |
| Ccs Tulare | $13 | 86% |
| Chdp | $13 | 86% |
| Fresno County Funded Specialty Care | $13 | 86% |
| Generic Care Out Of County | $13 | 86% |
| Generic Ccs Other Counties | $13 | 86% |
| Genetically Handicapped Person | $13 | 86% |
| Gold Coast Medi-Cal | $13 | 86% |
| Medi-Cal Alameda Alliance For Health | $13 | 86% |
| Medi-Cal Blue Shield Promise Health | $13 | 86% |
| Medi-Cal California Health & Wellness Plan | $13 | 86% |
| Medi-Cal Cencal Health | $13 | 86% |
| Medi-Cal Community Health Group | $13 | 86% |
| Medi-Cal Contra Costa Health Plan | $13 | 86% |
| Medi-Cal Health Plan Of San Mateo | $13 | 86% |
| Medi-Cal Inland Empire Health | $13 | 86% |
| Medi-Cal Kern Family Health | $13 | 86% |
| Medi-Cal La Care Health | $13 | 86% |
| Medi-Cal Molina | $13 | 86% |
| Medi-Cal Partnership Health Plan Of Ca | $13 | 86% |
| San Francisco Health Plan Medi-Cal | $13 | 86% |
| Santa Clara Family Health Plan - Premier Health | $13 | 86% |
| Santa Clara Family Health Plan - Valley Health | $13 | 86% |
| Advantek Table Mountain Rancheria Tribal Member | $15 | 99% |
| Aetna | $15 - $86 | 99% |
| Blue Shield 65 Plus Hmo Ehs | $15 | 99% |
| Blue Shield 65 Plus Hmo First Choice | $15 | 99% |
| Blue Shield Hmo-Cvmp/Medpro | $15 | 99% |
| Blue Shield Promise - Imperial | $15 | 99% |
| Blue Shield Saint Agnes | $15 | 99% |
| Blue Shield Sante | $15 | 99% |
| Brand New Day | $15 | 99% |
| Bscphp - Dhmso | $15 | 99% |
| Bscphp - First Choice | $15 | 99% |
| Bscphp Hmo - First Choice | $15 | 99% |
| Care1St Hmo - Ehs | $15 | 99% |
| Cares Act Provider Relief Fund | $15 | 99% |
| Cigna | $15 - $107 | 99% |
| Gemcare Hmo | $15 | 99% |
| Generic | $15 | 99% |
| Generic Bscphp | $15 | 99% |
| Generic Victims Of Crime | $15 | 99% |
| Hartford Life Supplement | $15 | 99% |
| Healthnet Hmo - Cvmp/Medpro | $15 | 99% |
| Healthnet Hmo - Dhmso | $15 | 99% |
| Healthnet Hmo - La Salle | $15 | 99% |
| Healthnet Hmo - Sante | $15 | 99% |
| Healthnet Sante | $15 | 99% |
| Healthnet Sante - Sub Cap Dual Risk | $15 | 99% |
| Healthnet Sante Dual Risk | $15 | 99% |
| Humana | $15 - $147 | 99% |
| Kaiser | $15 | 99% |
| Medi-Cal Innovative Integrated Health | $15 | 99% |
| Medicare (plans) | $15 | 99% |
| Meritage Blue Shield 65 Plus | $15 | 99% |
| Meritage Brand New Day | $15 | 99% |
| Meritage Healthnet Hmo | $15 | 99% |
| Railroad Part A | $15 | 99% |
| Railroad Part A & B | $15 | 99% |
| Railroad Part B | $15 | 99% |
| Sante | $15 - $21 | 99% |
| Sante Sub Cap Healthnet Seniority | $15 | 99% |
| Sante Sub Cap-Blue Shield/Sante | $15 | 99% |
| Sante-Blue Shield/Sante | $15 | 99% |
| Sante-Healthnet Seniority | $15 | 99% |
| Sante-Sub Cap Ma Brand New Day | $15 | 99% |
| Scan Health Plan | $15 | 99% |
| Sequoia Pace - Peak Tpa | $15 | 99% |
| Todays Pyramid | $15 | 99% |
| UnitedHealthcare | $15 - $91 | 99% |
| Us Marshal | $15 | 99% |
| Victims Of Crime | $15 | 99% |
| Wellcare | $15 | 99% |
| Alignment Health Plan | $17 | 113% |
| Champion Health Plan Of California Ma | $17 | 113% |
| Imperial Health Plan Hmo | $17 | 113% |
| Innovative Integrated Health Community Plans Hmo | $17 | 113% |
| Correctcare Integrated Health | $20 | 133% |
| Health Plan Of San Joaquin | $20 | 133% |
| Sequoia Pace | $20 | 133% |
| Adventist -Mcl Calviva Sub Cap | $22 | 146% |
| Healthnet | $26 - $102 | 172% |
| Coalinga State Hospital | $30 | 199% |
| Naphcare Inc-Mendota | $32 | 212% |
| Central Valley Medical Providers | $43 - $121 | 285% |
| Community Care | $44 | 292% |
| Employer 90/40 | $69 | 458% |
| Central Ca Indian Health | $95 | 630% |
| Nx Health Network Ppo | $95 | 630% |
| Healthsmart | $118 - $138 | 782% |
| Coventry Health Care (First Health Network) | $130 | 862% |
| Network By Design | $130 | 862% |
| Generic Multiplan | $147 | 975% |
| Phcs | $147 | 975% |
| Well Path (Cfmg) | $190 | 1260% |