CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida North Florida Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $53
  • Cash Discount Price: $729
  • vs. Medicare Baseline: 3.51x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida North Florida Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $729. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 3.51x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$729

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $729 (4834%)
Insurance Median: $53 (351%)
Cash: $729 (4834% of Medicare)
Ins. Median: $53 (351% 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 351% of the Medicare baseline (a markup of 251%). 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
Hospice Of North Central Fl $14 93%
Humana $14 - $146 93%
Aetna $15 - $219 99%
Blue Cross Blue Shield $15 99%
Capital Health Plan $15 99%
Ndms Definitive Care $15 99%
United $15 - $328 99%
United Behavioral Health $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%
Sunshine State $16 106%
Wellcare $16 106%
Centurion $17 113%
Clear Spring Health $17 113%
Ultimate Health Plan $17 113%
Longevity Health Plan $18 119%
Oscar $18 119%
Simply Healthcare $19 126%
Avmed $87 - $364 577%
Simply $112 743%
Molina Healthcare $138 - $233 915%
Corvel Corporation $142 942%
Prime Health $145 962%
Careworks (Rockport Community) $149 988%
Evolutions $168 1114%
Sunshine State Health Plan $186 1233%
Plotkin Health $364 2414%
Prime Health Sheriff $364 2414%
Corizon Phs $437 2898%
Multiplan $569 - $620 3773%
Evernorth $583 3866%
Evolutions Healthcare $620 4111%
Ppo Next $620 4111%
Novanet $656 4350%
Beacon Health Options $729 4834%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals