CMS Price Transparency Data
Blood test, vitamin B12
Facility: Garfield Medical Center
Billing Code: 82607 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82607
- Insurance Median: $20
- Cash Discount Price: $154
- vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Garfield Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $154. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.33x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$154
Average discount available for prompt cash payment at this facility.
Insurance Median
$20
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: $154 (1021%)
Insurance Median: $20 (133%)
Cash: $154 (1021% of Medicare)
Ins. Median: $20 (133% 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 |
|---|---|---|
| Pacific Independent Physician Association | $2 - $45 | 13% |
| Access Ipa Ancillary | $3 - $84 | 20% |
| Associated Hispanic Phys Of So Cal | $3 - $56 | 20% |
| Care First Health Plan | $3 - $28 | 20% |
| UnitedHealthcare | $3 - $168 | 20% |
| Employee Health Systems Mg | $5 - $56 | 33% |
| Ahmc Healthcare Inc | $8 - $84 | 53% |
| Family Health Alliance | $8 - $84 | 53% |
| Allied Physicians Risk Pool | $9 - $98 | 60% |
| Allied Physicians Risk Pool Agreement | $9 - $98 | 60% |
| Healthnet Medi Cal Cap | $9 - $98 | 60% |
| Pipa Risk Pool Agreement | $9 - $98 | 60% |
| Central Health Plan | $11 - $112 | 73% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $11 - $112 | 73% |
| Health Net Foundation M Cal (Family Health Alliance) | $11 - $112 | 73% |
| Molina Medical Group | $11 - $109 | 73% |
| Phys Assoc Of San Gab Valley | $11 - $112 | 73% |
| Veterans Administration | $11 | 73% |
| Allied Physicians | $13 - $23 | 86% |
| Beverly Hospital | $13 - $17 | 86% |
| Blue Cross Blue Shield | $13 - $140 | 86% |
| Brand New Day | $13 - $19 | 86% |
| Care 1St Mcl/Gar Cap Reciprocity | $13 | 86% |
| Community Health Plan | $13 | 86% |
| Emanate Health | $13 - $19 | 86% |
| Health Net | $13 - $235 | 86% |
| Healthy Way La | $13 | 86% |
| La Care Health Plan | $13 - $154 | 86% |
| Other Non-Contracting Medi-Cal | $13 | 86% |
| Physicians Healthways Medi-Cal | $13 - $280 | 86% |
| Allied Physicians Med Grp | $14 - $140 | 93% |
| Blue Shield Of California | $14 - $190 | 93% |
| Advantage Care Ipa | $15 - $280 | 99% |
| Aetna | $15 - $204 | 99% |
| Aids Health Foundation | $15 | 99% |
| Apa Aco Inc | $15 | 99% |
| Avanti | $15 - $18 | 99% |
| Blue Shield | $15 - $212 | 99% |
| Cms | $15 | 99% |
| Cv-19 Hrsa Uninsured Testing And Tx | $15 | 99% |
| Easy Choice Health Plan | $15 | 99% |
| First Health Network | $15 - $196 | 99% |
| Health Net Comm/Hmo | $15 - $154 | 99% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $15 | 99% |
| Hollywood Presbyterian Medpoint Mcal | $15 | 99% |
| Humana | $15 | 99% |
| La Care Covered Direct | $15 | 99% |
| Non-Contract Medi-Care | $15 | 99% |
| Pacific Alliance Medical Center Comm/Sr | $15 | 99% |
| Physicians Healthways Medical Corporation | $15 - $280 | 99% |
| Scan Health Plan Sr Hmo | $15 | 99% |
| Self-Pay | $15 | 99% |
| State Of California Medi-Cal | $15 | 99% |
| Ucla Impact Dept Of Uncology | $15 | 99% |
| Alhambra Hospital | $16 - $168 | 106% |
| Alignment Health Plan | $16 | 106% |
| Care 1St Health Plan | $16 - $168 | 106% |
| Inter Valley Health Plan | $16 | 106% |
| Interplan | $16 - $210 | 106% |
| Molina Healthcare | $16 | 106% |
| Molina Healthcare Of California | $16 - $19 | 106% |
| Cigna | $17 | 113% |
| National Disaster Medical System | $17 | 113% |
| Physician Healthways Medical Corporation | $17 | 113% |
| Preferred Health Network | $17 | 113% |
| San Miguel Health Plan | $17 | 113% |
| Athens Administrators | $18 | 119% |
| Chinatown Service Center Pace | $18 | 119% |
| Multiplan | $18 - $238 | 119% |
| Other Non-Contracted Workers Compensation | $18 | 119% |
| Ahmc Health Epo | $19 | 126% |
| Knox-Keene Act | $19 | 126% |
| One Health Plan | $19 - $196 | 126% |
| Fmc Los Angeles Co Epo | $20 - $210 | 133% |
| Caloptima Direct | $22 | 146% |
| Corvel Corporation | $22 - $224 | 146% |
| Americas Health Plan | $23 - $238 | 153% |
| Health Net Inc | $24 | 159% |
| Health Payors Organization | $24 - $252 | 159% |
| East La Reg Ctr | $27 - $280 | 179% |
| Non Contract Commercial | $27 - $280 | 179% |
| One Legacy | $27 - $280 | 179% |
| Private Pay | $27 - $280 | 179% |
| Pacificare Of California Inc | $30 | 199% |
| Pacificare Ppo | $30 | 199% |