CMS Price Transparency Data

Blood test, vitamin B12

Facility: North Shore Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $19
  • Cash Discount Price: $371
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at North Shore Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $371. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.26x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$371

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $371 (2460%)
Insurance Median: $19 (126%)
Cash: $371 (2460% of Medicare)
Ins. Median: $19 (126% 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
Cigna $7 - $185 46%
Humana $7 - $148 46%
Medicaid / KanCare $7 - $371 46%
UnitedHealthcare $7 - $15 46%
Veterans Administration Mill Bill $10 66%
Aetna $11 - $267 73%
Avmed Broad Network $13 86%
Medicare (plans) $13 - $371 86%
Devoted Health $15 99%
Employer Direct Healthcare $15 - $19 99%
Hospice Other $15 99%
Leon Health Inc $15 99%
Tricare $15 99%
Veterans Administration Vaccn $15 99%
Healthsun Health Plans $16 106%
Longevity Health Plan $16 106%
Bright Health Management Commercial $18 119%
Centurion Prison $18 119%
Florida Pace Centers $18 119%
Imagine Health $18 119%
Oscar Health Plan Hix $18 119%
Self Pay/Uninsured $18 119%
Avmed Exchange $26 172%
Dimension Health Wc $27 179%
Workers Compensation $27 179%
Ambetter / Centene $28 186%
Molina Marketplace Program Exchange $29 192%
Auto Insurance $30 199%
Avmed Select Network $31 206%
Amerihealth Caritas Next Exchange $32 212%
Bc/Bs Myblue Hmo Hix $46 305%
Bc/Bs Of Fl Network Blue $49 325%
Bc/Bs Of Fl Ppo $49 325%
Bc/Bs Of Fl Simplyblue $49 325%
Bc/Bs Of Fl Blue Select Exchange Non Par $53 351%
Bc/Bs Of Fl Health Options Hmo $53 351%
Bc/Bs Of Fl Phs $192 1273%
Magellan Behavioral Health $222 1472%
Dimensions International $241 1598%
First Health $252 1671%
Dimension Health Ppo $278 1844%
Beacon Health Strategies Commercial $371 2460%
Commercial Non-Contracted $371 2460%
Self Pay - Mcd Pending 100 Percent $371 2460%
Single Case Agreement $371 2460%
United Behavioral Health Psych $371 2460%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals