CMS Price Transparency Data

Blood test, vitamin B12

Facility: Adventist Health Delano

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $15
Cash Discount Price: $4
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Adventist Health Delano is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.

Cash / Self-Pay

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: $4 (27%)

Insurance Median: $15 (99%)

Cash: $4 (27% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 Shield Epn - All Other Plans	$3 - $34	20%
Blue Cross Blue Shield	$5 - $130	33%
Coventry- All Plans	$7 - $94	46%
Blue Shield Non-Epn	$8 - $101	53%
County Of Kern Network - All Plans	$8 - $109	53%
Gem Care- All Plans	$8 - $109	53%
Healthnet- All Other Plans	$8 - $105	53%
UnitedHealthcare	$8 - $112	53%
Foundation For Medical Care Of Kern County - All P	$9 - $117	60%
Cigna	$10 - $125	66%
Western Growers - All Plans	$10 - $126	66%
Dignty Hlth Mcal Op Only	$12 - $17	80%
Healthnet Medi-Cal	$12 - $21	80%
Kaiser Medi-Cal Ip/Op Only	$12 - $17	80%
Kern Health System Mcal	$12 - $22	80%
Medi-Cal	$12 - $17	80%
Universal Care Mcal	$12 - $17	80%
Bakersfield Fam Med Grp-All Plans	$15	99%
Healthnet Mcr Adv	$15	99%
Kern Mcr Adv Dual Dnsp-All Other Plans	$15	99%
Medicare (plans)	$15 - $24	99%
Tricare	$15	99%
Universal Care Mcr- All Other Plans	$15	99%
Kaiser Comm Ip/Op Only- All Other Plans	$26	172%
Ah Employee Health Plan - All Plans	$27	179%
Centivo - All Plans	$34	225%
Aetna	$99	656%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Delano is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.