CMS Price Transparency Data

Blood test, vitamin B12

Facility: Casa Colina Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Casa Colina Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $20 (133%)
Insurance Median: $16 (106%)
Cash: $20 (133% of Medicare)
Ins. Median: $16 (106% 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
Heritage Prvdr Ntwrk Mcal $12 80%
Promed Hlth Ntwrk Op Only - All Plans $14 93%
Prospect Hp Mcal $14 93%
UnitedHealthcare $14 - $15 93%
Aetna $15 - $32 99%
Blue Cross Blue Shield $15 - $53 99%
Blue Shield Mcr Adv $15 99%
Caremore Mcr Adv - All Plans $15 99%
Central Hlth Plan - All Plans $15 99%
Doctors Managed Op Only - All Plans $15 99%
Empire Healthcare Op Only - All Plans $15 99%
Epic Comm - All Other Plans $15 99%
Epic Mcr Adv $15 99%
Focus Healthcare Wc - All Plans $15 99%
Healthnet Mcr Adv $15 99%
Humana $15 - $45 99%
Iehp - All Other Plans $15 99%
Iehp Mcr Adv $15 99%
Kaiser Comm - All Other Plans $15 99%
Kaiser Mcr Adv $15 99%
Premiercare Op Only - All Plans $15 99%
Prospect Hp Mcr Adv $15 99%
Triwest - All Plans $15 99%
Wellcare Mcr Adv - All Plans $15 99%
Medi-Cal $17 113%
Prospect Hp Comm - All Other Plans $17 113%
Affiliated Hlth Funds - All Plans $19 126%
Kaiser Mcal $19 126%
Cigna $22 146%
Heritage Prvdr Ntwrk Comm - All Other Plans $36 239%
Heritage Prvdr Ntwrk Mcr $36 239%
Healthnet Comm - All Other Plans $37 245%
Iehp Mcal $43 285%
Corvel - All Plans $45 298%
Coventry - All Plans $45 298%
Multiplan - All Plans $45 298%
Three Rivers - All Plans $45 298%
Brand New Day Mcr Adv - All Plans $54 358%
Galaxy Provdr Ntwrk - All Plans $63 418%
Blue Shield Comm - All Other Plans $66 438%
Healthcare Partners - All Other Plans $72 477%
Healthcare Partners Mcr $72 477%
Primecare Comm - All Other Plans $72 477%
Primecare Mcr Adv $72 477%
Prospect Med Grp Alta - All Plans $77 511%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals