CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida Englewood Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $17
  • Cash Discount Price: $160
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida Englewood Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $160. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.13x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.
Cash / Self-Pay
$160

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $160 (1061%)
Insurance Median: $17 (113%)
Cash: $160 (1061% of Medicare)
Ins. Median: $17 (113% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $8 53%
Access 2 Healthcare Physicians Freedom Health $12 80%
Access 2 Healthcare Physicians Optimum $12 80%
Freedom Health Care $12 80%
Optimum Healthcare $12 80%
Avmed $13 - $40 86%
Caresource $14 93%
Humana $14 - $45 93%
Aetna $15 - $48 99%
Blue Cross Blue Shield $15 99%
Ndms Definitive Care $15 99%
Ultimate Health Plan $15 99%
United $15 - $72 99%
United Va Ccn $15 99%
Wellmed $15 99%
Align Senior Care $16 106%
American Health Plan $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%
Centurion $17 113%
Clear Spring Health $17 113%
Simply Healthcare $21 - $25 139%
Oscar $23 153%
Molina $30 - $43 199%
Evolutions Healthcare Systems $37 - $147 245%
Sunshine State Health Plan $41 272%
Behealthy America $62 411%
Healthcare Sarasota $80 531%
Plotkin Health $80 531%
Prime Health Sheriff $80 531%
Multiplan $120 - $136 796%
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: 700 Medical Blvd, Englewood, FL 34223
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals