CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida Raulerson Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida Raulerson Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $18 (119%)
Insurance Median: $15 (99%)
Cash: $18 (119% of Medicare)
Ins. Median: $15 (99% 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
Avmed $2 - $9 13%
Freedom Health $2 - $3 13%
Optimum $2 13%
Simply Healthcare Plans $2 13%
Molina $3 - $5 20%
Health Sun Health Plan $4 27%
Aetna $5 - $16 33%
Sunshine State Health Plan $5 33%
Humana $7 - $15 46%
United $8 - $15 53%
United Ppo $8 53%
Plotkin Health $9 60%
Prime Health Sherriff $9 60%
Multiplan $14 - $15 93%
Blue Cross Blue Shield $15 99%
Careplus $15 99%
Devoted Health $15 99%
Ndms Definitive Care $15 99%
Ultimate Health Plan $15 99%
Veterans Evaluation Services $15 99%
Wellmed $15 99%
American Health Plan $16 106%
Cigna $16 106%
Florida Complete Care $16 106%
Prominence Healthfirst $16 106%
Sunshine State $16 - $17 106%
Centurion $17 113%
Amerihealth Caritas $18 119%
Longevity Health Plan $18 119%
Solis Health Plan $22 146%
Oscar $29 192%
Simply Healthcare $34 225%
Corvel Corporation $126 836%
Careworks (Rockport) $129 855%
Prime Health $129 855%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals