CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida West Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $123
  • Cash Discount Price: $557
  • vs. Medicare Baseline: 8.16x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida West Hospital is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $557. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 8.16x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.
Cash / Self-Pay
$557

Average discount available for prompt cash payment at this facility.

Insurance Median
$123

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: $557 (3694%)
Insurance Median: $123 (816%)
Cash: $557 (3694% of Medicare)
Ins. Median: $123 (816% 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 816% of the Medicare baseline (a markup of 716%). 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
Humana $14 - $138 93%
Value Options $14 93%
Aetna $15 - $206 99%
Blue Cross Blue Shield $15 99%
Ndms Definitive Care $15 99%
Triwest Healthcare Alliance $15 99%
United $15 - $310 99%
United Behavioral Health $15 99%
Wellmed $15 99%
Align Senior Care $16 106%
American Health Plan $16 106%
Florida Complete Care $16 106%
Gold Kidney Of Florida $16 106%
Healthspring Of Florida $16 106%
Sunshine State $16 106%
Wellcare $16 106%
Centurion $17 113%
Clear Spring Health $17 113%
Oscar $17 113%
Ultimate Health Plan $17 113%
Longevity Health Plan $18 119%
Simply Healthcare $24 159%
Naphcare $32 - $36 212%
Seven Corners $32 - $36 212%
Freedom Health $54 - $87 358%
Simply $66 - $106 438%
Molina Healthcare $81 - $220 537%
Avmed $102 - $344 676%
Sunshine State Health Plan $108 - $175 716%
Corvel Corporation $129 855%
Prime Health $132 875%
Careworks (Rockport Community) $136 902%
Plotkin Health $213 - $344 1412%
Prime Health Sheriff $213 - $344 1412%
Evolutions Healthcare $277 - $585 1837%
Multiplan $332 - $585 2202%
Evernorth $340 - $550 2255%
Ppo Next $362 - $585 2401%
Novanet $383 - $619 2540%
Beacon Health Options $425 - $688 2818%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8383 N Davis Hwy, Pensacola, FL 32514
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals