CMS Price Transparency Data

Blood test, vitamin B12

Facility: Marion Communtiy Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $25
  • Cash Discount Price: $1,165
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Marion Communtiy Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,165. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.66x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$1,165

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $1,165 (7725%)
Insurance Median: $25 (166%)
Cash: $1,165 (7725% of Medicare)
Ins. Median: $25 (166% 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
Humana $14 - $233 93%
Blue Cross Blue Shield $15 99%
Devoted Health $15 99%
Freedom Optimum $15 99%
Ndms Definitive Care $15 99%
United $15 - $524 99%
Va Purchased Care Program $15 99%
Veterans Evaluation Services $15 99%
Wellmed $15 99%
Align Senior Care $16 106%
American Health Plan $16 106%
Avmed $16 - $326 106%
Cigna $16 106%
Florida Complete Care $16 106%
Gold Kidney Of Florida $16 106%
Secur $16 106%
Sunshine State $16 106%
Wellcare $16 106%
Aetna $17 - $349 113%
Careplus $17 113%
Centurion $17 113%
Clear Spring Health $17 113%
Ultimate Health Plan $17 113%
Longevity Health Plan $18 119%
Simply Healthcare $19 126%
Naphcare $32 - $36 212%
University Ma Federal Corrections $32 212%
Wellpath $32 - $36 212%
Corvel Corporation $128 849%
Prime Health $131 869%
Careworks (Rockport Community) $135 895%
Marion County Schools $135 895%
Simply $179 1187%
Molina Healthcare $221 - $373 1466%
Evolutions $268 1777%
Evolutions Healthcare $268 1777%
Sunshine State Health Plan $297 1969%
Plotkin Health $582 3859%
Prime Health Sheriff $582 3859%
Multiplan $908 6021%
Ppo Next $990 6565%
Novanet $1,048 6950%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals