CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida South Shore Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida South Shore Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.
Cash / Self-Pay
$13

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: $13 (86%)
Insurance Median: $15 (99%)
Cash: $13 (86% 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
Simply Healthcare $2 - $18 13%
United $2 - $15 13%
Avmed $3 20%
Evolutions Healthcare Systems $3 - $12 20%
Molina $3 - $4 20%
Sunshine State Health Plan $3 20%
Aetna $4 - $15 27%
Humana $4 - $17 27%
Plotkin Health $7 46%
Prime Health Sheriff $7 46%
Multiplan $10 - $11 66%
Caresource $14 93%
Blue Cross Blue Shield $15 99%
Devoted Health $15 99%
Ndms Definitive Care $15 99%
Ultimate Health Plan $15 99%
United Va Ccn $15 99%
Wellmed $15 99%
Align Senior Care $16 106%
American Health Plan $16 106%
Baycare Health Plans $16 106%
Cigna $16 106%
Florida Complete Care $16 106%
Gold Kidney Of Florida $16 106%
Secur $16 106%
Sunshine State $16 106%
Wellcare $16 106%
Careplus $17 113%
Centurion $17 113%
Clear Spring Health $17 113%
Longevity Health Plan $18 119%
Oscar $21 139%
Solis Health Plan $22 146%
Corvel Corporation $136 902%
Rockport Healthcare Group $136 902%
Prime Health $139 922%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4016 Sun City Center Blvd, Sun City Center, FL 33573
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals