CMS Price Transparency Data

Blood test, vitamin B12

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $33
Cash Discount Price: $76
vs. Medicare Baseline: 2.19x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Kapiolani Medical Center for Women & Children is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.19x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.

Cash / Self-Pay

$76

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $76 (504%)

Insurance Median: $33 (219%)

Cash: $76 (504% of Medicare)

Ins. Median: $33 (219% 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 219% of the Medicare baseline (a markup of 119%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Alohacare	$15 - $17	99%
Hmsa	$15 - $32	99%
Kaiser	$15 - $111	99%
Mdx	$15 - $17	99%
Devoted	$16	106%
Ohana	$18 - $37	119%
Hcha	$30	199%
UnitedHealthcare	$31	206%
Pac Admin	$33	219%
Uha	$35 - $63	232%
Hwmg/Hmaa	$38	252%
Mimoh	$88 - $94	584%
Calvos	$94	623%
Multiplan	$101 - $107	670%
Verdegard	$101	670%
Mccp	$107	710%
Coventry	$113	749%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $76.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Kapiolani Medical Center for Women & Children is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.