CMS Price Transparency Data

Blood test, vitamin B12

Facility: Halifax Health Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $75
  • Cash Discount Price: $119
  • vs. Medicare Baseline: 4.97x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Halifax Health Medical Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.97x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$119

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $119 (789%)
Insurance Median: $75 (497%)
Cash: $119 (789% of Medicare)
Ins. Median: $75 (497% 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 497% of the Medicare baseline (a markup of 397%). 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 $7 - $149 46%
Coventry $7 - $94 46%
Hcra $7 46%
Humana $7 46%
Independent Living Systems $7 - $74 46%
Medicaid / KanCare $7 46%
Molina $7 46%
Simply Healthcare Plans $7 46%
Sunshine State Health Plan $7 - $52 46%
UnitedHealthcare $7 - $89 46%
West Volusia $7 46%
Caresource Network $8 53%
Employers Health Network $23 153%
Fhcp $30 199%
Florida Healthcare $33 219%
Embs $42 - $127 279%
Florida Healthcare - Hecn $51 338%
Blue Cross Blue Shield $58 - $66 385%
Avmed $69 - $74 458%
Centivo $74 491%
County Of Volusia Corrections $74 491%
A&G Admin $76 504%
Volusia County Employee $76 504%
Claimdoc $89 590%
Devoted Health $89 590%
Division Of The Blind $89 590%
Oscar $89 590%
Prime Health Services $89 590%
Volusia $89 - $104 590%
Sim Plan Pay $97 643%
Hrgi $104 690%
Plotkin Consulting $104 690%
Evolutions International $112 743%
Summit America $119 789%
Americas Choice Provider Network $134 - $149 889%
Integrated Health Plan $134 889%
Multiplan $134 889%
Three Rivers $142 942%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals