CMS Price Transparency Data

Blood test, vitamin B12

Facility: Adventist Health Twin Cities

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $77
Cash Discount Price: $18
vs. Medicare Baseline: 5.11x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Adventist Health Twin Cities is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 5.11x the Medicare baseline. Located in 1100 Las Tablas Rd, Templeton, CA.

Cash / Self-Pay

$18

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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: $18 (119%)

Insurance Median: $77 (511%)

Cash: $18 (119% of Medicare)

Ins. Median: $77 (511% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 511% of the Medicare baseline (a markup of 411%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$15	99%
Cencal Mcr Adv - All Other Plans	$15	99%
Tricare	$15	99%
UnitedHealthcare	$15 - $87	99%
Cfmg-Ca Forensic Med Grp Op/Profee Only-All Plans	$20	133%
Ah Employee Health Plan - All Plans	$27	179%
Hpn-Heritage Prov Ntwrk-All Plans	$54	358%
Blue Shield Epn	$58	385%
Blue Shield Hmo/Pos	$66	438%
Nbd-Ntwrks By Design Non-Exlus	$92	610%
Blue Shield Epo/Ppo - All Other Plans	$126	836%
Chn-Community Hlth Ntwrk-All Plans	$142	942%
Pacific Health Alliance-All Plans	$144	955%
Nbd-Ntwrks By Design Exlus-All Other Plans	$150	995%
Medi-Cal	$160	1061%
Cencal Mcal	$182	1207%
Blue Shield Promise Mcal	$192	1273%
Ccah-Centrl Ca Allince Mcal-All Plans	$208	1379%
Coalinga-All Plans	$337	2235%

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 $18.
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 Twin Cities 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.