CMS Price Transparency Data

Blood test, vitamin B12

Facility: Uchealth Grandview Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $106
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 7.03x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Uchealth Grandview Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 7.03x the Medicare baseline. Located in 5623 Pulpit Peak Vw, Colorado Springs, CO.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $117 (776%)
Insurance Median: $106 (703%)
Cash: $117 (776% of Medicare)
Ins. Median: $106 (703% 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 703% of the Medicare baseline (a markup of 603%). 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
Aetna $15 99%
Blue Cross Blue Shield $15 - $124 99%
Cigna $15 - $195 99%
Cms $15 99%
Devoted Health $15 99%
Humana $15 99%
Kaiser $15 - $113 99%
Select Health $15 - $123 99%
UnitedHealthcare $15 - $180 99%
Simplified Benefits Administration $106 - $126 703%
Denver Health Medical Plan $166 1101%
Rocky Mountain Health Plan $180 1194%
First Health $196 1300%
Multiplan/Phcs $230 1525%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5623 Pulpit Peak Vw, Colorado Springs, CO 80918
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals