CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida Lawnwood Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $34
  • Cash Discount Price: $557
  • vs. Medicare Baseline: 2.25x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida Lawnwood Hospital is $34. 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 2.25x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$557

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $34 (225%)
Cash: $557 (3694% of Medicare)
Ins. Median: $34 (225% 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 225% of the Medicare baseline (a markup of 125%). 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
Cigna $9 - $485 60%
Aetna $15 - $400 99%
Blue Cross Blue Shield $15 - $561 99%
Bright Health $15 - $227 99%
Careplus $15 99%
Devoted Health $15 99%
Humana $15 - $143 99%
Innovage Pace $15 99%
Kaiser $15 - $269 99%
Mutual Of Omaha $15 99%
Ndms Definitive Care $15 99%
Rocky Mountain Health $15 99%
Rocky Mountain Health Plan $15 99%
Total Longterm Care $15 99%
Triwest Health Alliance $15 99%
Ultimate Health Plan $15 99%
United $15 - $341 99%
United Behavioral Health $15 99%
Veterans Evaluation Services $15 99%
Wellmed $15 99%
American Health Plan $16 106%
Delaware Life Insurance $16 106%
Florida Complete Care $16 106%
Prominence Healthfirst $16 106%
Sunshine State $16 - $17 106%
Wellcare $16 106%
Centurion $17 113%
Amerihealth Caritas $18 119%
Longevity Health Plan $18 119%
Solis Health Plan $22 146%
Oscar $29 192%
Freedom Health $31 - $57 206%
Optimum $31 206%
Simply Healthcare $34 225%
Avmed $46 - $178 305%
Simply Healthcare Plans $46 305%
Molina $68 - $96 451%
Health Sun Health Plan $76 504%
Sunshine State Health Plan $91 603%
Vail Health $115 763%
Office Of Sheiff Highland Co $125 829%
Corvel Corporation $140 928%
Careworks (Rockport) $143 948%
Prime Health $143 - $682 948%
United Ppo $157 1041%
Plotkin Health $178 1180%
Prime Health Sherriff $178 1180%
Multiplan $268 - $682 1777%
Evernorth Bh $286 1897%
Western Plains Community Health $493 3269%
Northcare $531 3521%
Physician Health Partners $531 3521%
Pinnacol Workers Comp $568 3767%
Medical Development International $606 4019%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals