CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida Northwest Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $22
  • Cash Discount Price: $186
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida Northwest Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.46x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.
Cash / Self-Pay
$186

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $186 (1233%)
Insurance Median: $22 (146%)
Cash: $186 (1233% of Medicare)
Ins. Median: $22 (146% 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
Blue Cross Blue Shield $15 99%
Careplus Sfl $15 99%
Devoted Health $15 99%
Humana $15 - $63 99%
Ndms Definitive Care $15 99%
United $15 - $84 99%
Veterans Evaluation Services $15 99%
Wellmed $15 99%
Aetna $16 - $56 106%
Align $16 106%
American Health Plan $16 106%
Avmed $16 - $93 106%
Cigna $16 106%
Florida Complete Care $16 106%
Freedom Health $16 - $30 106%
Optimum $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%
Simply Healthcare Plans $24 159%
Molina $35 - $50 232%
Health Sun Health Plan $40 265%
Mmm Of Fl (Health Advantage Plan) $43 285%
United Ppo $44 292%
Sunshine State Health Plan $49 325%
Blis $65 431%
Plotkin Health $93 617%
Prime Health Sherriff $93 617%
Medica Healthcare $108 716%
Multiplan $140 - $158 928%
Corvel Corporation $148 981%
Careworks (Rockport) $151 1001%
Prime Health $151 1001%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2801 N State Rd 7, Margate, FL 33063
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals