CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida Citrus Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $72
  • Cash Discount Price: $1,197
  • vs. Medicare Baseline: 4.77x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida Citrus Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,197. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.77x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.
Cash / Self-Pay
$1,197

Average discount available for prompt cash payment at this facility.

Insurance Median
$72

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: $1,197 (7938%)
Insurance Median: $72 (477%)
Cash: $1,197 (7938% of Medicare)
Ins. Median: $72 (477% 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 477% of the Medicare baseline (a markup of 377%). 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
Caresource $14 93%
Humana $14 - $335 93%
Aetna $15 - $359 99%
Blue Cross Blue Shield $15 99%
Hernando-Pasco Hospice $15 99%
Ndms Definitive Care $15 99%
Ultimate Health Plan $15 99%
United $15 - $538 99%
United Behavioral Health $15 99%
United Va Ccn $15 99%
Wellmed $15 99%
Align Senior Care $16 106%
American Health Plan $16 106%
Cigna $16 106%
Florida Complete Care $16 106%
Gold Kidney Of Florida $16 106%
Secur $16 106%
Sunshine State $16 106%
Wellcare $16 106%
Centurion $17 113%
Clear Spring Health $17 113%
Simply Healthcare $19 126%
Oscar $21 139%
Access 2 Healthcare Physicians Freedom Optimum Group Members $56 371%
Access 2 Healthcare Physicians Freedom Health $72 477%
Access 2 Healthcare Physicians Optimum $72 477%
Freedom Health Care $78 517%
Optimum Healthcare $78 517%
Avmed $96 - $299 637%
Corvel Corporation $127 842%
Rockport Healthcare Group $127 842%
Prime Health $130 862%
Molina $227 - $323 1505%
Evolutions Healthcare Systems $275 - $1,101 1824%
Sunshine State Health Plan $305 2023%
Beacon Health Options $598 3966%
Plotkin Health $598 3966%
Prime Health Sheriff $598 3966%
Multiplan $897 - $1,017 5948%
Evernorth $957 6346%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals