CMS Price Transparency Data

Blood test, vitamin B12

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $36
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 2.39x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Baptist Health Medical Center - Jacksonville is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.39x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $75 (497%)
Insurance Median: $36 (239%)
Cash: $75 (497% of Medicare)
Ins. Median: $36 (239% 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 239% of the Medicare baseline (a markup of 139%). 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
Amerigroup Of Georgia $7 46%
Amerihealth Caritas $7 46%
Caresource Of Georgia $7 - $72 46%
Daniel Memorial $7 46%
Florida Community Care $7 - $16 46%
Humana $7 46%
Peach State Health Plan $7 - $72 46%
Simply Healthcare Plans $7 - $8 46%
Simply Healthcare Plans - Cha $7 46%
Sunshine State Health Plan $7 46%
United Community Plan $7 46%
Vivida Health $7 46%
Aetna $8 - $89 53%
Molina Healthcare Of Florida $8 53%
Community Hospice Of Northeast Florida $15 99%
Pace $15 99%
Tomorrow'S Rainbow $15 99%
UnitedHealthcare $15 - $58 99%
Va Ccn $15 99%
Devoted $16 106%
Non-Contracted $17 - $27 113%
Upmc $17 113%
Blue Cross Blue Shield $22 - $72 146%
Corvel $26 - $109 172%
Coventry Workers Comp $26 - $109 172%
Ambetter / Centene $36 239%
Avmed $36 - $58 239%
Cigna $43 - $68 285%
Borland Groover $44 292%
Occunet $44 - $56 292%
Northeast Florida State Hospital $47 - $52 312%
Centivo $49 - $94 325%
Capital Health Plan $51 338%
Innovative Healthware Services $52 345%
Geo Group $56 371%
Volusia Health Network $61 405%
Watchtower $61 405%
Fscj Student Insurance $67 444%
Suddath Company $70 464%
Medicaid / KanCare $72 477%
Uf Health Proton Therapy Institute $78 517%
Phcs $83 - $89 550%
Evolutions Healthcare $100 663%
Multiplan $100 663%
United Behavioral Health $517 3428%
Nemours Research $983 6519%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals