CMS Price Transparency Data

Blood test, vitamin B12

Facility: Parkview Medical Center, Inc

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $35
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 2.32x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Parkview Medical Center, Inc is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.32x the Medicare baseline. Located in 400 W 16Th St, Pueblo, CO.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $62 (411%)
Insurance Median: $35 (232%)
Cash: $62 (411% of Medicare)
Ins. Median: $35 (232% 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 232% of the Medicare baseline (a markup of 132%). 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 - $17 66%
Blue Cross Blue Shield $14 - $69 93%
Simplified Benefits Administration $14 - $70 93%
Aetna $15 - $85 99%
Cms $15 99%
Humana $15 99%
Kaiser $15 - $142 99%
Select Health $15 - $134 99%
UnitedHealthcare $15 - $151 99%
Denver Health Medical Plan $27 - $129 179%
Multiplan/Phcs $33 - $157 219%
Rocky Mountain Health Plans $35 - $170 232%
First Health $37 - $178 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 W 16Th St, Pueblo, CO 81003
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals