CMS Price Transparency Data
Blood test, vitamin B12
Facility: Menifee Global Medical Center
Billing Code: 82607 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82607
- Insurance Median: $18
- Cash Discount Price: $125
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Menifee Global Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.19x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$125
Average discount available for prompt cash payment at this facility.
Insurance Median
$18
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: $125 (829%)
Insurance Median: $18 (119%)
Cash: $125 (829% of Medicare)
Ins. Median: $18 (119% 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 |
|---|---|---|
| Ic | $13 - $125 | 86% |
| Kaiser Medi-Cal | $13 | 86% |
| Blue Cross Blue Shield | $14 | 93% |
| Tricare | $14 - $15 | 93% |
| Aetna | $15 - $79 | 99% |
| Altamed Comm Hmo (Ancillary) | $15 - $125 | 99% |
| Altamed Health Services Senior | $15 | 99% |
| Altamed Sr/Pace | $15 | 99% |
| Blue Shield Senior | $15 | 99% |
| Central Health Plan Senior | $15 | 99% |
| Clever Care Health Plan Sr | $15 | 99% |
| For Your Benefit Senior | $15 | 99% |
| Guidant Health Plan Senior | $15 | 99% |
| Health Net Medi-Cal | $15 | 99% |
| Health Net Senior | $15 | 99% |
| Hpn Mcal | $15 | 99% |
| Hpn Senior | $15 | 99% |
| Humana | $15 | 99% |
| Imperial Health Plan Of Ca | $15 | 99% |
| Kaiser Senior | $15 | 99% |
| Lasalle Medical Assoc (Ancillary) Commercial | $15 | 99% |
| Lasalle Medical Assoc (Ancillary) Senior | $15 | 99% |
| Managed Health Network Sr | $15 | 99% |
| Medicare (plans) | $15 | 99% |
| Neighborhood Healthcare Pace | $15 | 99% |
| Point Comfort Underwriters | $15 | 99% |
| Primecare Senior | $15 | 99% |
| Prospect Health Plan Sr Hmo | $15 | 99% |
| Scan Senior | $15 | 99% |
| Self Pay/Ab774/Charity Discount | $15 | 99% |
| Sr Capitation | $15 | 99% |
| UnitedHealthcare | $15 - $18 | 99% |
| Veterans Administration | $15 | 99% |
| Coventry | $16 - $17 | 106% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $16 | 106% |
| Molina Medi-Cal | $16 | 106% |
| Prime Health Services Wcomp | $16 | 106% |
| Prospect Health Plan Mcal Hmo | $16 | 106% |
| Align Senior Care | $17 | 113% |
| Prime Health Services Senior | $17 | 113% |
| Welbehealth Sr/Pace | $17 | 113% |
| Three Rivers Wcomp | $18 | 119% |
| Workers Comp Non-Contracted | $18 | 119% |
| Iehp Covered Ca | $19 | 126% |
| Molina Covered Ca | $19 | 126% |
| Iehp Medi-Cal | $20 | 133% |
| Prospect Health Plan Comm Hmo | $20 | 133% |
| Altamed Mcal Hmo | $21 | 139% |
| Altamed Mcal/Pace | $21 | 139% |
| Choice Physicians Network | $21 | 139% |
| Health Net Enhanced Ppo | $21 | 139% |
| Hpn Commercial/Covered Ca | $21 | 139% |
| Health Net Comm | $23 | 153% |
| Three Rivers Network | $26 | 172% |
| Velocity | $26 - $56 | 172% |
| Cigna | $30 - $100 | 199% |
| Blue Shield Epn | $42 | 279% |
| Blue Shield Commercial | $50 | 332% |
| First Health Commercial | $66 | 438% |
| Primecare Commercial | $81 | 537% |
| Multiplan Ppo | $88 | 584% |
| Multiplan Wcomp | $88 | 584% |
| Pnoa-Provider Network Of America | $100 | 663% |
| Prime Health Services Commercial | $100 | 663% |
| Ava Hospice | $125 | 829% |
| Kaiser Commercial | $125 | 829% |
| Living Waters Hospice | $125 | 829% |
| Managed Health Network | $125 | 829% |
| Other Insurance Loa | $125 | 829% |
| Pacific Valley Hospice | $125 | 829% |
| Private Pay | $125 | 829% |
| Silverado Hospice | $125 | 829% |
| Vna Hospice | $125 | 829% |