CMS Price Transparency Data

Blood test, vitamin B12

Facility: Lower Keys Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $29
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Lower Keys Medical Center is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.92x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $78 (517%)
Insurance Median: $29 (192%)
Cash: $78 (517% of Medicare)
Ins. Median: $29 (192% 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.

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
Florida Childrens Medical Services $10 66%
Humana $10 - $15 66%
Medicaid / KanCare $10 - $11 66%
South Florida Community Care Network $10 66%
Amerigroup $11 73%
Molina $11 73%
Positive Healthcare $11 73%
Simply Healthcare $11 - $78 73%
Wellcare $11 73%
Wellcare Healthease $11 73%
Magellan $12 80%
Prestige Health Choice $12 80%
UnitedHealthcare $12 - $194 80%
Blue Cross Blue Shield $15 - $252 99%
Medicare (plans) $15 99%
Node Champva $15 99%
Node Non Par Hospice Agree $15 99%
Node United Behavioral Va Ccn $15 99%
Node Va $15 99%
Tricare $15 99%
Ultimate Health $15 99%
Veterans Eval Services $15 99%
Correct Care Solutions $17 113%
Node Us Dept Of Labor $19 126%
Prime Health Work Comp Fl $26 172%
Fl Work Comp $27 179%
Heritage Summit Work Comp Fl $27 179%
State Auto Insurance Fl $30 199%
Self Pay $68 - $88 451%
Cigna $149 988%
Aetna $176 1167%
Monroe County $189 1253%
Evolutions Healthcare Systems $202 - $239 1340%
Keys Energy $202 1340%
Prime Health Ppo $202 1340%
Avmed Health Plan $214 1419%
Direct Healthcare $252 1671%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals