CMS Price Transparency Data

Blood test, vitamin B12

Facility: Adventist Health Mendocino Coast

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $25
Cash Discount Price: $76
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Adventist Health Mendocino Coast is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.66x the Medicare baseline. Located in 700 River Drive, Fort Bragg, CA.

Cash / Self-Pay

$76

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $76 (504%)

Insurance Median: $25 (166%)

Cash: $76 (504% of Medicare)

Ins. Median: $25 (166% 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
UnitedHealthcare	$2 - $176	13%
Blue Shield Epn	$5 - $82	33%
Ah Employee Health Plan - All Plans	$6 - $113	40%
Tricare	$6 - $107	40%
Great West Hmo/Pos/Epo/Oa	$8 - $142	53%
Great West Ppo - All Other Plans	$8 - $153	53%
Healthnet - All Plans	$8 - $142	53%
Multiplan - All Plans	$8 - $153	53%
Blue Shield - All Other Plans	$9 - $167	60%
Cigna	$9 - $170	60%
Ahcc - All Plans	$11 - $196	73%
Beech Street - All Plans	$11 - $196	73%
Medi-Cal	$12 - $17	80%
Partnership Hp Mcal-All Plans	$12 - $52	80%
Blue Cross Blue Shield	$123 - $137	816%

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 $76.
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 Mendocino Coast 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.