CMS Price Transparency Data

Blood test, vitamin B12

Facility: Craig Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $1,007
  • Cash Discount Price: $557
  • vs. Medicare Baseline: 66.78x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Craig Hospital is $1,007. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $557. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 66.78x the Medicare baseline. Located in 3425 S Clarkson St, Englewood, CO.
Cash / Self-Pay
$557

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,007

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: $557 (3694%)
Insurance Median: $1,007 (6678%)
Cash: $557 (3694% of Medicare)
Ins. Median: $1,007 (6678% 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 6678% of the Medicare baseline (a markup of 6578%). 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
Veterans Administration $13 86%
Cms $15 99%
UnitedHealthcare $15 - $729 99%
Cigna $740 4907%
Kaiser $761 5046%
Blue Cross Blue Shield $777 5153%
Carisk Outcomes $806 5345%
Zenith $873 5789%
Aetna $913 6054%
Corvel Worker'S Comp $940 6233%
Liberty Mutual Worker'S Comp $940 6233%
Paradigm $940 - $994 6233%
Rocky Mountain Health Plan $980 - $1,048 6499%
Midwest Employers Casualty $994 6592%
Coventry/First Health $1,007 6678%
Fcci Worker'S Comp $1,007 6678%
Geha/Ppo Usa $1,007 6678%
Great-West Healthcare $1,007 6678%
Multiplan/Phcs $1,007 - $1,061 6678%
Prime Health Services $1,021 6771%
First Choice Health $1,048 6950%
Focus Worker'S Comp $1,074 7122%
General Reinsurance $1,074 - $1,142 7122%
Provider Network Of America $1,074 7122%
Three Rivers Provider Network $1,074 - $1,101 7122%
Wyoming Worker'S Comp $1,074 7122%
Allstate $1,142 7573%
Tricare $1,142 7573%
National Provider Network $1,209 8017%
Up & Up $1,209 8017%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3425 S Clarkson St, Englewood, CO 80113
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL