CMS Price Transparency Data

Blood test, vitamin B12

Facility: Bethesda Hospital East

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $20
  • Cash Discount Price: $163
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Bethesda Hospital East is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.33x the Medicare baseline. Located in 2815 S Seacrest Blvd, Boynton Beach, FL.
Cash / Self-Pay
$163

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: $163 (1081%)
Insurance Median: $20 (133%)
Cash: $163 (1081% 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
Aetna $7 - $134 46%
Amerigroup $7 46%
Medicaid / KanCare $7 - $8 46%
Sunshine State $7 46%
UnitedHealthcare $7 - $251 46%
Vista $7 46%
Wellcare $7 46%
Blue Cross Blue Shield $15 - $251 99%
Leon Medical $15 99%
Medica Health Plan $15 99%
Medicare (plans) $15 - $20 99%
Cigna $16 - $50 106%
Humana $16 106%
Avmed $17 - $124 113%
Non Contracted $92 610%
Amerihealth $113 749%
Affordable $163 1081%
International $163 1081%
Dimension Health Plan $226 1499%
Phcs $226 1499%
Quality Health $226 1499%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2815 S Seacrest Blvd, Boynton Beach, FL 33435
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals