CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Florida Palms West Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $73
  • Cash Discount Price: $562
  • vs. Medicare Baseline: 4.84x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Florida Palms West Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $562. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.84x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$562

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $562 (3727%)
Insurance Median: $73 (484%)
Cash: $562 (3727% of Medicare)
Ins. Median: $73 (484% 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 484% of the Medicare baseline (a markup of 384%). 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
Blue Cross Blue Shield $15 99%
Careplus Sfl $15 99%
Devoted Health $15 99%
Humana $15 - $191 99%
Ndms Definitive Care $15 99%
United $15 - $253 99%
Veterans Evaluation Services $15 99%
Wellmed $15 99%
Aetna $16 - $169 106%
Align $16 106%
American Health Plan $16 106%
Cigna $16 106%
Florida Complete Care $16 106%
Oscar $16 - $21 106%
Prominence Healthfirst $16 106%
Sunshine State $16 - $17 106%
Centurion $17 113%
Doctors Healthcare Plan $17 113%
Gold Kidney $17 113%
Amerihealth Caritas $18 - $23 119%
Longevity Health Plan $18 119%
Simply Healthcare $19 126%
Solis Health Plan $22 146%
Freedom Health $48 - $90 318%
Optimum $48 318%
Avmed $73 - $281 484%
Simply Healthcare Plans $73 484%
Molina $107 - $152 710%
Health Sun Health Plan $120 796%
Aids Healthcare $124 - $674 822%
Mmm Of Fl (Health Advantage Plan) $129 855%
United Ppo $133 882%
Corvel Corporation $141 935%
Careworks (Rockport) $144 955%
Prime Health $144 955%
Sunshine State Health Plan $146 968%
Health Care District $281 1863%
Palm Beach Juvenile Correction $281 1863%
Plotkin Health $281 1863%
Prime Health Sherriff $281 1863%
Medica Healthcare $326 2162%
Multiplan $422 - $478 2798%
Healthy Palm Beaches $550 3647%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals