CMS Price Transparency Data

Blood test, vitamin B12

Facility: Sarasota Memorial Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $16
Cash Discount Price: $50
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Sarasota Memorial Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$16

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: $50 (332%)

Insurance Median: $16 (106%)

Cash: $50 (332% of Medicare)

Ins. Median: $16 (106% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerihealth Caritas Oncology	$2 - $8	13%
Community Care Plan Oncology	$2 - $8	13%
Florida Community Care Oncology	$2 - $18	13%
Molina Oncology	$2 - $8	13%
Simply Healthcare Oncology	$2 - $8	13%
Sunshine State Oncology	$2 - $8	13%
Amerihealth Caritas	$7	46%
Community Care Plan	$7	46%
Florida Community Care	$7 - $17	46%
Molina	$7	46%
Simply Healthcare	$7	46%
Sunshine State	$7	46%
UnitedHealthcare	$9 - $107	60%
Blue Cross Blue Shield	$15 - $26	99%
Aetna	$16 - $149	106%
Simply Freedom Optimum	$16	106%
Simply Freedom Optimum Oncology	$16	106%
Wellcare	$16	106%
Wellcare Oncology	$16	106%
Oscar Oncology	$25	166%
Ambetter / Centene	$41	272%
Avmed	$78 - $104	517%
Usa Managed Care	$86 - $114	570%
First Health	$89 - $118	590%
Careworks	$109 - $149	723%
Enlyte	$109 - $149	723%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $50.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sarasota Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.