CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida Aventura Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $68
  • Cash Discount Price: $792
  • vs. Medicare Baseline: 4.51x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida Aventura Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $792. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.51x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.
Cash / Self-Pay
$792

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $792 (5252%)
Insurance Median: $68 (451%)
Cash: $792 (5252% of Medicare)
Ins. Median: $68 (451% 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 451% of the Medicare baseline (a markup of 351%). 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
Blue Cross Blue Shield $15 99%
Careplus Sfl $15 99%
Cigna $15 99%
Devoted Health $15 99%
Humana $15 - $269 99%
Leon Health $15 99%
Ndms Definitive Care $15 99%
United $15 - $356 99%
United Behavioral Health $15 99%
Veterans Evaluation Services $15 99%
Wellmed $15 99%
Aetna $16 - $238 106%
Align $16 106%
American Health Plan $16 106%
Avmed $16 - $396 106%
Florida Complete Care $16 106%
Oscar $16 - $21 106%
Prominence Healthfirst $16 106%
Sunshine State $16 - $17 106%
Centurion $17 113%
Doctors Healthcare Plan $17 113%
Gold Kidney $17 113%
Amerihealth Caritas $18 - $23 119%
Longevity Health Plan $18 119%
Simply Healthcare $19 126%
Solis Health Plan $22 146%
Freedom Health $68 - $127 451%
Optimum $68 451%
Simply Healthcare Plans $103 683%
Molina $135 - $214 895%
Corvel Corporation $147 975%
Careworks (Rockport) $150 995%
Prime Health $150 995%
Health Sun Health Plan $169 1121%
Aids Healthcare $174 - $950 1154%
Mmm Of Fl (Health Advantage Plan) $182 1207%
United Ppo $188 1247%
Sunshine State Health Plan $206 1366%
Plotkin Health $396 2626%
Prime Health Sherriff $396 2626%
Medica Healthcare $459 3044%
Multiplan $594 - $673 3939%
Evernorth Bh $634 4204%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20900 Biscayne Blvd, Aventura, FL 33180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals