CMS Price Transparency Data

Blood test, vitamin B12

Facility: Uchealth Pikes Peak Regional Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $65
  • Cash Discount Price: $90
  • vs. Medicare Baseline: 4.31x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Uchealth Pikes Peak Regional Hospital is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.31x the Medicare baseline. Located in 16420 W Us Highway 24, Woodland Park, CO.
Cash / Self-Pay
$90

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $90 (597%)
Insurance Median: $65 (431%)
Cash: $90 (597% of Medicare)
Ins. Median: $65 (431% 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 431% of the Medicare baseline (a markup of 331%). 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
UnitedHealthcare $17 - $28 113%
Aetna $28 - $93 186%
Blue Cross Blue Shield $28 - $87 186%
Cigna $28 - $90 186%
Cms $28 186%
Devoted Health $28 186%
Humana $28 186%
Kaiser $28 - $96 186%
Select Health $28 - $98 186%
Simplified Benefits Administration $52 - $57 345%
Kaiser Public Option $68 451%
Kaiser Kp Select $81 537%
Multiplan/Phcs $89 590%
First Health $96 637%
Rocky Mountain Health Plan $96 637%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16420 W Us Highway 24, Woodland Park, CO 80863
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals