CMS Price Transparency Data

Blood test, vitamin B12

Facility: Nemours Childrens Hospital, Florida

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $30
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Nemours Childrens Hospital, Florida is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.99x the Medicare baseline. Located in 6535 Nemours Pkwy, Orlando, FL.
Cash / Self-Pay
$52

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $52 (345%)
Insurance Median: $30 (199%)
Cash: $52 (345% of Medicare)
Ins. Median: $30 (199% 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
Avmed $9 - $23 60%
Cigna $11 - $30 73%
Employers Health Network Fl $11 - $30 73%
Florida Blue $11 - $167 73%
Truli $11 - $79 73%
Aetna $12 - $33 80%
Evolutions Healthcare $13 - $34 86%
Tricare $14 93%
UnitedHealthcare $14 93%
Integra Administrative Group $17 - $45 113%
Global Medical Management $18 - $49 119%
Prime Health Services $18 - $49 119%
Star Healthcare Network $18 - $49 119%
Velocity $21 - $56 139%
First Health Network $22 - $58 146%
Pnoa $22 - $60 146%
Seminole Tribe Of Fl $22 - $60 146%
Private Healthcare Systems $26 - $69 172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6535 Nemours Pkwy, Orlando, FL 32827
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens