CMS Price Transparency Data

Blood test, vitamin B12

Facility: Cleveland Clinic Martin North Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $39
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 2.59x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Cleveland Clinic Martin North Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.59x the Medicare baseline. Located in 200 Se Hospital Ave, Stuart, FL.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $92 (610%)
Insurance Median: $39 (259%)
Cash: $92 (610% of Medicare)
Ins. Median: $39 (259% 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 259% of the Medicare baseline (a markup of 159%). 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 $15 - $130 99%
Blue Cross Blue Shield $15 99%
Humana $15 99%
Miami Childrens Health Plan $15 99%
United $15 99%
Wellcare $15 99%
Avmed $16 - $55 106%
Careplus $16 106%
Freedom Health $16 106%
Devoted Health $17 113%
Cigna $22 - $39 146%
Bmi $34 - $79 225%
Clarity Health $40 - $94 265%
The Legacy Companies $40 - $94 265%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Se Hospital Ave, Stuart, FL 34994
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals