CMS Price Transparency Data
Blood test, vitamin B12
Facility: Whittier Hospital Medical Center
Billing Code: 82607 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82607
- Insurance Median: $13
- Cash Discount Price: $29
- vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Whittier Hospital Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.86x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$29
Average discount available for prompt cash payment at this facility.
Insurance Median
$13
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: $29 (192%)
Insurance Median: $13 (86%)
Cash: $29 (192% of Medicare)
Ins. Median: $13 (86% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ahmc Reciprocity | $2 - $95 | 13% |
| Ahmc Reciprocity Agreement Senior/Commercial | $2 - $95 | 13% |
| Pacific Independent Physician Association | $2 - $95 | 13% |
| Physicians Healthways Medical Corporation | $2 - $79 | 13% |
| Wear And Wood | $2 - $127 | 13% |
| Blue Cross Blue Shield | $3 - $158 | 20% |
| Central Health Plan Of California | $3 - $127 | 20% |
| Edward Medical Group | $3 - $111 | 20% |
| Molina Medical Center | $3 - $124 | 20% |
| UnitedHealthcare | $3 - $276 | 20% |
| Allied Physicians Ipa | $4 - $143 | 27% |
| Blue Shield Of California | $4 - $210 | 27% |
| La Care Health Plan | $4 - $174 | 27% |
| Prospect Medical | $4 - $174 | 27% |
| Care 1St Health Plan | $5 - $190 | 33% |
| Cost Containment | $5 - $206 | 33% |
| Davita Healthcare Partners | $5 - $206 | 33% |
| Health Net | $5 - $190 | 33% |
| Health Net Inc | $5 - $206 | 33% |
| New Horizon Medical Group Inc | $5 - $190 | 33% |
| Universal Care | $5 - $222 | 33% |
| Aetna | $6 - $231 | 40% |
| Asi/Flex | $6 - $222 | 40% |
| Community Care Network | $6 - $238 | 40% |
| Coventry Health Care | $6 - $238 | 40% |
| Coventry Health Care National Network | $6 - $238 | 40% |
| Fmc Los Angeles County | $6 - $238 | 40% |
| Healthnet | $6 - $220 | 40% |
| Interplan Corporation | $6 - $238 | 40% |
| Kaiser Foundation | $6 - $222 | 40% |
| Managed Care Administrators | $6 - $238 | 40% |
| Prohealth | $6 - $238 | 40% |
| Us Comp Care | $6 - $222 | 40% |
| Value Healthplan Of California | $6 - $222 | 40% |
| Multiplan | $7 - $269 | 46% |
| Ahmc Health | $8 - $19 | 53% |
| Ahmc Medi-Cal Reciprocity Agreement | $8 - $13 | 53% |
| Aids Healthcare Foundation | $8 - $15 | 53% |
| Alignment Health Plan | $8 - $15 | 53% |
| Allied Physicians | $8 - $23 | 53% |
| Alta Los Angeles Hospitals Inc | $8 - $15 | 53% |
| Alta Med Health Network | $8 - $15 | 53% |
| Altamed Health Services Corporation | $8 - $13 | 53% |
| Apa/Aco Inc | $8 - $15 | 53% |
| Applecare Medical Group | $8 - $18 | 53% |
| Athens Administrators Ahmc Work Comp | $8 - $18 | 53% |
| Avanti | $8 - $18 | 53% |
| Beverly Hospital | $8 - $17 | 53% |
| Brand New Day | $8 - $18 | 53% |
| Caloptima | $8 - $19 | 53% |
| Care First Health Plan | $8 - $15 | 53% |
| Caremore | $8 - $15 | 53% |
| Central Health Plan | $8 - $15 | 53% |
| Commercial Non Contract | $8 - $317 | 53% |
| County Of Los Angeles Dept Of Health Services | $8 - $15 | 53% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $8 - $15 | 53% |
| Easy Choice Health Plan | $8 - $15 | 53% |
| Emanate Health | $8 - $18 | 53% |
| Healthy Way La | $8 - $13 | 53% |
| Heritage Provider Network | $8 - $20 | 53% |
| Hollywood Presbyterian Adv Med Mcal | $8 - $15 | 53% |
| Hollywood Presbyterian Medpoint Mcal | $8 - $15 | 53% |
| Humana | $8 - $15 | 53% |
| Interplan Health Group | $8 - $18 | 53% |
| Knox-Keene Act | $8 - $19 | 53% |
| La Care Covered Direct | $8 - $15 | 53% |
| La Care Healthy Families/Healthy Kids | $8 - $13 | 53% |
| Medi Caid/ Medi Cal | $8 - $15 | 53% |
| Medi-Cal Sub Acute | $8 - $317 | 53% |
| Medicare (plans) | $8 - $16 | 53% |
| Misc 1 | $8 - $18 | 53% |
| Molina Healthcare Of California | $8 - $16 | 53% |
| Monarch Healthplan | $8 - $19 | 53% |
| Multiplan Wc | $8 - $18 | 53% |
| Non Contracted Medi-Cal | $8 - $13 | 53% |
| One Legacy | $8 - $317 | 53% |
| Pacific Alliance Medical Center | $8 - $15 | 53% |
| Pacificare Of California | $8 - $15 | 53% |
| Private Pay | $8 - $15 | 53% |
| Prospect Health Plan | $8 - $24 | 53% |
| San Miguel Health Plan | $8 - $17 | 53% |
| Scan Health Plan | $8 - $15 | 53% |
| Self-Pay | $8 - $15 | 53% |
| Synermed | $8 - $15 | 53% |
| Tricare | $8 - $17 | 53% |
| Veterans Administration | $8 - $11 | 53% |
| Chinatown Service Center Pace | $10 - $18 | 66% |
| Capnet | $13 | 86% |
| Cigna | $17 | 113% |
| Physician Healthways | $32 | 212% |
| Great-West Healthcare Of California | $2,500 | 16578% |