CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida Twin Cities Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $106
  • Cash Discount Price: $688
  • vs. Medicare Baseline: 7.03x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida Twin Cities Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $688. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 7.03x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
$688

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $688 (4562%)
Insurance Median: $106 (703%)
Cash: $688 (4562% of Medicare)
Ins. Median: $106 (703% 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 703% of the Medicare baseline (a markup of 603%). 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
Humana $14 - $261 93%
Aetna $15 - $206 99%
Blue Cross Blue Shield $15 99%
Ndms Definitive Care $15 99%
Regency Hospice $15 99%
United $15 - $310 99%
Wellmed $15 99%
American Health Plan $16 106%
Florida Complete Care $16 106%
Gold Kidney Of Florida $16 106%
Healthspring Of Florida $16 106%
Sunshine State $16 106%
Wellcare $16 106%
Centurion $17 113%
Clear Spring Health $17 113%
Ultimate Health Plan $17 113%
Longevity Health Plan $18 119%
Oscar $20 133%
Simply Healthcare $24 159%
Simply $106 703%
Molina Healthcare $131 - $220 869%
Corvel Corporation $136 902%
Prime Health $139 922%
Careworks (Rockport Community) $143 948%
Avmed $165 - $344 1094%
Sunshine State Health Plan $175 1160%
Plotkin Health $344 2281%
Prime Health Sheriff $344 2281%
Evolutions Healthcare $447 - $585 2964%
Multiplan $537 - $585 3561%
Ppo Next $585 3879%
Novanet $619 4105%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals