CMS Price Transparency Data

Blood test, vitamin B12

Facility: Ascension St Vincent's Clay County

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Ascension St Vincent's Clay County is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 1670 St Vincents Way, Middleburg, FL.
Cash / Self-Pay
$56

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: $56 (371%)
Insurance Median: $16 (106%)
Cash: $56 (371% 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
Aetna $13 - $31 86%
Bc Advantage Mcr Replacement $15 99%
Blue Cross Blue Shield $15 99%
Careplus Mcr Replacement $15 99%
Cigna $15 - $56 99%
Community Hospice $15 99%
Coventry Mcr Replacement Hmo $15 99%
Haven Hospice $15 99%
Humana $15 - $38 99%
Medicare (plans) $15 99%
Research Study Encore Borland-Groover $15 99%
UnitedHealthcare $15 99%
Veterans Administration $15 99%
Wellcare $15 99%
Inmate Health Care $19 126%
Bright Health $20 - $22 133%
Smarthealth $21 139%
Oscar Health Plan $24 159%
Employer Direct Healthcare $26 172%
90 Degree Benefits $27 179%
Avmed Exchange $27 179%
Molina Exchange $28 186%
Occunet $28 - $151 186%
Ambetter / Centene $29 192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1670 St Vincents Way, Middleburg, FL 32068
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals