CMS Price Transparency Data

Blood test, vitamin B12

Facility: Lutheran Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $80
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.31x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Lutheran Medical Center is $80. 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 5.31x the Medicare baseline. Located in 8300 W 38Th Ave, Wheat Ridge, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $80 (531%)
Ins. Median: $80 (531% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 531% of the Medicare baseline (a markup of 431%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Cigna $10 - $285 66%
Aarp $15 99%
Geha $15 - $165 99%
Kaiser Snp $15 99%
Select Health $15 99%
UnitedHealthcare $15 - $165 99%
Kaiser Perm Hmo $26 - $120 172%
Blue Cross Blue Shield $27 - $239 179%
Kaiser Perm Ppo/Pos $32 - $124 212%
Kaiser Self Funded $32 - $120 212%
Allegiance $35 - $71 232%
Denv Hlth Med Plan $39 259%
Aetna $52 - $256 345%
Preferred One $55 - $114 365%
Humana $58 - $120 385%
Cofinity $100 - $205 663%
First Health Network $100 - $205 663%
Private Hlthcare Sys $104 - $214 690%
Multiplan Inc $116 - $239 769%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 W 38Th Ave, Wheat Ridge, CO 80033
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals