CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Healthone Mountain Ridge

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $1,000
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Healthone Mountain Ridge is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,000. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.
Cash / Self-Pay
$1,000

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $1,000 (6631%)
Insurance Median: $16 (106%)
Cash: $1,000 (6631% of Medicare)
Ins. Median: $16 (106% 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
Cigna $7 - $640 46%
Aetna $15 - $528 99%
Blue Cross Blue Shield $15 - $740 99%
Bright Health $15 - $300 99%
Devoted Health $15 99%
Humana $15 99%
Innovage Pace $15 99%
Kaiser $15 - $355 99%
Mutual Of Omaha $15 99%
Rocky Mountain Health $15 99%
Rocky Mountain Health Plan $15 99%
Total Longterm Care $15 99%
Triwest Health Alliance $15 99%
United $15 - $450 99%
Delaware Life Insurance $16 106%
Wellcare $16 106%
Vail Health $152 1008%
Colorado Program For Children With Special Needs $340 2255%
Life Source Services $350 2321%
Western Plains Community Health $650 4310%
Multiplan $700 - $900 4642%
Northcare $700 4642%
Physician Health Partners $700 4642%
Pinnacol Workers Comp $750 4973%
Medical Development International $800 5305%
Prime Health $900 5968%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9191 Grant St, Thornton, CO 80229
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals