CMS Price Transparency Data

Blood test, vitamin B12

Facility: St Francis Hospital & Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $20
  • Cash Discount Price: $61
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at St Francis Hospital & Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.33x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$61

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $61 (405%)
Insurance Median: $20 (133%)
Cash: $61 (405% of Medicare)
Ins. Median: $20 (133% 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
Blue Cross Blue Shield $13 - $17 86%
Aetna $15 - $21 99%
Cca Senior Care Options $15 99%
Cigna $15 - $89 99%
Geha $15 99%
Harvard Pilgrim Healthcare $15 99%
Medicare (plans) $15 - $16 99%
UnitedHealthcare $15 99%
Bcn Domestic $17 113%
Blue Benefit Administrators of Massachusetts $17 113%
Blue Care Network $17 113%
Blue Distinction Transplant $17 113%
Blue Shield - Ca $17 113%
Blue Shield - Id (Regence) $17 113%
Blue Shield - Ny Highmark Northeastern $17 113%
Blue Shield - Ny Highmark Western $17 113%
Blue Shield - PA (Highmark) $17 113%
Blue Shield - Wa (Regence) $17 113%
Health Choices $17 113%
Kaiser Domestic $17 113%
Pre-Employment $17 113%
Unicare $17 113%
Wc Domestic $17 113%
Wellpoint $17 113%
Centivo $19 126%
Fallon Health $20 133%
1199 National Benefit Fund $21 139%
Allied Benefit Systems $21 139%
Connecticare $21 - $25 139%
Gravie Admin Services $21 139%
Hap $21 139%
Luminare Health $21 139%
Meritain $21 139%
Nippon Life Ins $21 139%
Webtpa $21 139%
Allegiance $24 159%
Health Partners $24 159%
Magnacare $24 159%
Connecticut Dept of Correction $25 166%
Innovative Health Plan II $32 212%
Health New England $61 405%
Allied National Global Care $75 497%
Asrm - Reliance Standard Life Insurance $75 497%
Christian Care Ministry $75 497%
Dean Health $75 497%
Family Life Insurance Company $75 497%
Ghc Scw $75 497%
International Benefit Administrators $75 497%
Lifetime Benefit Solutions $75 497%
Manhattan Life $75 497%
Medi Share $75 497%
Multiplan $75 497%
Mvp $75 497%
PHCS $75 497%
Pai $75 497%
Pan-American Life $75 497%
Paramount HMO $75 497%
Trinity Health Share $75 497%
Prime Health Services $78 517%
Health Smart $94 623%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals