CMS Price Transparency Data

Blood test, vitamin B12

Facility: Valley Children's Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $11
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Valley Children's Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.73x the Medicare baseline. Located in 9300 Valley Childrens Place, Madera, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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%)
Insurance Median: $11 (73%)
Ins. Median: $11 (73% 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
Aetna $2 - $12 13%
Bakersfield Family Medical Group $2 - $14 13%
Blue Cross Blue Shield $2 - $150 13%
Blue Shield $2 - $14 13%
Community Care Health Plan $2 - $15 13%
Community Health $2 - $10 13%
Dignity (Formerly Managed Care Systems) $2 - $12 13%
First Health Formerly Coventry $2 - $14 13%
Fowler Packing $2 - $12 13%
Health Net $2 - $12 13%
Health Plan Of San Joaquin $2 - $11 13%
Health Smart $2 - $15 13%
Kaiser $2 - $31 13%
Kern Legacy $2 - $12 13%
Key Medical Ipa $2 - $15 13%
Network By Design $2 - $14 13%
Physicians Choice Medical Group $2 - $10 13%
Stanislaus Partners In Health $2 - $10 13%
UnitedHealthcare $2 - $92 13%
Multiplan $3 - $18 20%
Sutter Health $3 - $16 20%
Allcare Ipa $9 - $21 60%
Central Valley Medical Providers Ipa $9 - $32 60%
Dignity Health Central Coast $9 60%
United Physicians Network Ipa $9 - $33 60%
Central California Alliance For Health $29 192%
Dignity Ipa_Formerly Img $30 199%
La Salle Ipa $30 199%
Sante Ipa $30 199%
Sequoia Health Ipa $32 212%
Univseral Healthcare Ipa $32 212%
Community Care Ipa $34 225%
Adventist $38 252%
Cencal Health $42 279%
Kern Family Health Care $43 285%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens