CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $530
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida Sarasota Doctors Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $530. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.
Cash / Self-Pay
$530

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: $530 (3515%)
Insurance Median: $16 (106%)
Cash: $530 (3515% 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.

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
Beacon Health Options $2 - $528 13%
Behealthy America $2 - $412 13%
Evolutions Healthcare Systems $2 - $971 13%
Healthcare Sarasota $2 - $528 13%
Plotkin Health $2 - $528 13%
Prime Health Sheriff $2 - $528 13%
United $2 - $475 13%
Evernorth $3 - $844 20%
Multiplan $3 - $897 20%
Caresource $14 93%
Humana $14 - $296 93%
Aetna $15 - $317 99%
Blue Cross Blue Shield $15 99%
Ndms Definitive Care $15 99%
Ultimate Health Plan $15 99%
United Behavioral Health $15 99%
United Va Ccn $15 99%
Wellmed $15 99%
Align Senior Care $16 106%
American Health Plan $16 106%
Cigna $16 106%
Florida Complete Care $16 106%
Gold Kidney Of Florida $16 106%
Secur $16 106%
Sunshine State $16 106%
Wellcare $16 106%
Centurion $17 113%
Clear Spring Health $17 113%
Simply Healthcare $21 - $163 139%
Oscar $23 153%
Access 2 Healthcare Physicians Freedom Optimum Group Members $50 332%
Access 2 Healthcare Physicians Freedom Health $76 504%
Access 2 Healthcare Physicians Optimum $76 504%
Freedom Health Care $82 544%
Optimum Healthcare $82 544%
Avmed $84 - $264 557%
Corvel Corporation $136 902%
Rockport Healthcare Group $136 902%
Prime Health $139 922%
Molina $201 - $285 1333%
Sunshine State Health Plan $269 1784%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5731 Bee Ridge Rd, Sarasota, FL 34233
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals