CMS Price Transparency Data

Blood test, vitamin B12

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Physicians Regional Medical Center - Pine Ridge is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 6101 Pine Ridge Road, Naples, FL.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $62 (411%)
Insurance Median: $16 (106%)
Cash: $62 (411% of Medicare)
Ins. Median: $16 (106% 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
Amerigroup $7 46%
Childrens Medical Services $7 46%
Humana $7 - $15 46%
Integral Health $7 46%
Magellan $7 46%
Medicaid / KanCare $7 46%
Simply Healthcare Plan $7 46%
UnitedHealthcare $7 - $67 46%
Wellcare $7 46%
Prestige Health $8 53%
Aetna $15 - $183 99%
Blue Cross Blue Shield $15 - $275 99%
Freedom Optimum $15 99%
Medicare (plans) $15 99%
Node Champva $15 99%
Node Non Par Hospice Agree $15 99%
Node Va $15 99%
Tricare $15 99%
Veterans Eval Services $15 99%
Cigna $16 106%
Node Wellcare Mcr Adv $16 106%
Node Us Dept Of Labor $19 126%
Occunet $24 - $38 159%
Prime Health Work Comp Fl $26 172%
Rockport $26 172%
Florida Workers Compensation $27 179%
Florida State Auto Insurance $30 199%
Ambetter / Centene $38 252%
Self Pay $50 - $66 332%
Community Health Partners $78 517%
Simply Healthcare $85 564%
Avmed $105 696%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6101 Pine Ridge Road, Naples, FL 34119
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals