CMS Price Transparency Data

Blood test, vitamin B12

Facility: Loma Linda University Children's Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $51
Cash Discount Price: $79
vs. Medicare Baseline: 3.38x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Loma Linda University Children's Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 3.38x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $79 (524%)

Insurance Median: $51 (338%)

Cash: $79 (524% of Medicare)

Ins. Median: $51 (338% 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 338% of the Medicare baseline (a markup of 238%). 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
UnitedHealthcare	$12	80%
Alpha Care Medical Group	$15 - $23	99%
Dignity Health	$15 - $23	99%
Epic Health Plan	$15 - $108	99%
Inland Empire Health Plan (Iehp)	$15 - $22	99%
Kaiser Foundation Hospitals	$15 - $180	99%
Upland Medical Group	$15	99%
Vantage Medical Group	$15 - $23	99%
Adventist Health	$16 - $54	106%
Lluh Dept Of Risk Management	$19 - $65	126%
Molina Healthcare Of Ca	$19 - $20	126%
Heritage Provider Network	$25	166%
Blue Shield Of California	$35 - $94	232%
Global Benefits Group	$48 - $162	318%
Temecula Valley Physicians Medical Group	$48 - $84	318%
Trivalley Medical Group	$48 - $84	318%
Cigna	$51 - $104	338%
Aetna	$52 - $92	345%
Networks By Design	$52 - $176	345%
Multiplan	$63 - $216	418%
Galaxy Health	$67 - $230	444%
Prime Health Services	$67 - $230	444%
Blue Cross Blue Shield	$149	988%

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 $79.
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 Loma Linda University Children's Hospital 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.