CMS Price Transparency Data

Blood test, vitamin B12

Facility: Adventist Health Tulare

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $21
Cash Discount Price: $40
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Adventist Health Tulare is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.39x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $40 (265%)

Insurance Median: $21 (139%)

Cash: $40 (265% of Medicare)

Ins. Median: $21 (139% 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.

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
Blue Shield Epn	$4 - $104	27%
Blue Cross Blue Shield	$5 - $154	33%
Blue Shield-All Other Plans	$5 - $144	33%
Cigna	$6 - $153	40%
Western Growers - All Plans	$6 - $152	40%
Hs Interplan-All Plans	$8 - $221	53%
Network By Design-All Plans	$8 - $214	53%
UnitedHealthcare	$8 - $239	53%
Multiplan - All Plans	$10 - $280	66%
Ccipa Medi-Cal - All Plans	$12 - $22	80%
Dignity Mcal Op Only	$12 - $19	80%
Healthnet Medi-Cal	$12 - $23	80%
Independence Op Only - All Plans	$12 - $19	80%
Medi-Cal	$12 - $17	80%
Blue Shield Mcare	$15	99%
Dignity Mcr Op Only - All Other Plans	$15	99%
Fhcn Pace Mcr Adv - All Plans	$15	99%
Medicare (plans)	$15	99%
Prime Health - All Plans	$15	99%
Tricare	$15	99%
Prison Hlthcre - All Plans	$19	126%
Cal Forensic Med Grp - All Plans	$20	133%
Bright Health - All Plans	$22	146%
Ah Employee Health Plan - All Plans	$27	179%
Incentive Hlth - All Plans	$27	179%
Healthnet Hmo/Ppo - All Other Plans	$40	265%
Aetna	$130	862%

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 $40.
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 Adventist Health Tulare 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.