CMS Price Transparency Data

Blood test, vitamin B12

Facility: Seneca District Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $5
Cash Discount Price: $4
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Seneca District Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.33x the Medicare baseline. Located in 130 Brentwood Drive, Chester, CA.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $4 (27%)

Insurance Median: $5 (33%)

Cash: $4 (27% of Medicare)

Ins. Median: $5 (33% 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 - $5	13%
Blue Cross Blue Shield	$4 - $5	27%
Imperial Hp Ma-All Plans	$4	27%
Tricare	$4	27%
Alliance- All Plans	$5	33%
Ambetter / Centene	$5	33%
Amthem Bc Mcal	$5	33%
Beech Street Corp- All Plans	$5	33%
Blue Shield Ipf/Ca Exchange	$5	33%
Blue Shield Of Ca- All Other Plans	$5	33%
Cigna	$5	33%
Community Care Network - All Plans	$5	33%
Coventry- All Plans	$5	33%
Healthnet - All Other Plans	$5	33%
Integrated Hp-All Plans	$5	33%
Interplan Corp- All Plans	$5	33%
Medi-Cal	$5	33%
Medincrease- All Plans	$5	33%
Multiplan- All Plans	$5	33%
Northern Nevada Health Network- All Plans	$5	33%
Pacificare - All Plans	$5	33%
Partnership Hp-All Plans	$5	33%
Provider Ntwrk Of America-All Plans	$5	33%
Superior California Ppo - All Plans	$5	33%
Three Rivers- All Plans	$5	33%

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 $4.
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 Seneca District 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.