CMS Price Transparency Data
Blood test, vitamin B12
Facility: Palmetto General Hospital
Billing Code: 82607 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82607
- Insurance Median: $17
- Cash Discount Price: $47
- vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Palmetto General Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.13x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$47
Average discount available for prompt cash payment at this facility.
Insurance Median
$17
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: $47 (312%)
Insurance Median: $17 (113%)
Cash: $47 (312% of Medicare)
Ins. Median: $17 (113% 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 |
|---|---|---|
| Bc/Bs Myblue Hmo Hix | $6 - $7 | 40% |
| Bc/Bs Of Fl Network Blue | $6 - $7 | 40% |
| Bc/Bs Of Fl Simplyblue | $6 - $7 | 40% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $7 - $8 | 46% |
| Bc/Bs Of Fl Health Options Hmo | $7 - $8 | 46% |
| Bc/Bs Of Fl Ppo | $7 - $8 | 46% |
| Cigna | $7 - $25 | 46% |
| Humana | $7 - $20 | 46% |
| Medicaid / KanCare | $7 - $49 | 46% |
| UnitedHealthcare | $7 - $15 | 46% |
| Bc/Bs Of Fl Miami Dade Blue Select | $9 - $10 | 60% |
| Veterans Administration Mill Bill | $10 | 66% |
| Avmed Broad Network | $13 | 86% |
| Medicare (plans) | $13 - $49 | 86% |
| Aetna | $15 - $37 | 99% |
| Bristol Hospice- Miami Dade Llc | $15 | 99% |
| Catholic Hospice | $15 | 99% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $15 | 99% |
| Devoted Health | $15 | 99% |
| Employer Direct Healthcare | $15 - $19 | 99% |
| Hospice Other | $15 | 99% |
| Ima Evalutations Inc | $15 | 99% |
| Leon Health Inc | $15 | 99% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $15 | 99% |
| Opuscare Of South Fl | $15 | 99% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $15 | 99% |
| Select Specialty Hospital | $15 | 99% |
| Tricare | $15 | 99% |
| Veterans Administration Vaccn | $15 | 99% |
| Vitas Healthcare Hospice | $15 | 99% |
| Westchester General Hospital | $15 | 99% |
| Healthsun Health Plans | $16 | 106% |
| Longevity Health Plan | $16 | 106% |
| Bright Health Management Commercial | $18 | 119% |
| Florida Pace Centers | $18 | 119% |
| Imagine Health | $18 | 119% |
| Oscar Health Plan Hix | $18 | 119% |
| Self Pay/Uninsured | $18 | 119% |
| Naphcare Inc | $21 | 139% |
| Bc/Bs Of Fl Phs | $22 - $25 | 146% |
| Liga Contra El Cancer | $22 - $25 | 146% |
| Avmed Exchange | $26 | 172% |
| Dimension Health Wc | $27 | 179% |
| Magellan Behavioral Health | $27 - $30 | 179% |
| Workers Compensation | $27 | 179% |
| Ambetter / Centene | $28 | 186% |
| Dimensions International | $29 - $32 | 192% |
| Molina Marketplace Program Exchange | $29 | 192% |
| Auto Insurance | $30 | 199% |
| First Health | $30 - $33 | 199% |
| Avmed Select Network | $31 | 206% |
| Amerihealth Caritas Next Exchange | $32 | 212% |
| Dimension Health Ppo | $34 - $37 | 225% |
| Beacon Health Strategies Commercial | $45 - $49 | 298% |
| Commercial Non-Contracted | $45 - $49 | 298% |
| Self Pay - Mcd Pending 100 Percent | $45 - $49 | 298% |
| Single Case Agreement | $45 - $49 | 298% |
| United Behavioral Health Psych | $45 - $49 | 298% |