CMS Price Transparency Data

Blood test, vitamin B12

Facility: Eastern Idaho Regional Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $167
  • Cash Discount Price: $396
  • vs. Medicare Baseline: 11.07x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Eastern Idaho Regional Medical Center is $167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $396. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 11.07x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.
Cash / Self-Pay
$396

Average discount available for prompt cash payment at this facility.

Insurance Median
$167

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: $396 (2626%)
Insurance Median: $167 (1107%)
Cash: $396 (2626% of Medicare)
Ins. Median: $167 (1107% 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 1107% of the Medicare baseline (a markup of 1007%). 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 $13 - $377 86%
Molina $13 - $15 86%
Humana $15 - $333 99%
Prime Health $15 - $337 99%
Regence Blue Shield $15 99%
Rexburg Care And Rehab $15 99%
Triwest Healthcare Alliance $15 99%
United $15 - $229 99%
Veteran'S Administration $15 99%
Regence $23 153%
Select Health $120 796%
Select Health Ichn Brightpath $120 - $134 796%
Select Health Idaho (Eirmc Only) $126 836%
Aetna $156 - $193 1034%
Doug Andrus Distributing $159 1054%
Pacificsource Health $167 - $213 1107%
University Of Utah $167 1107%
Mountain Health Co-Op $198 - $297 1313%
Cigna $218 1446%
First Choice Health Of Washington $238 1578%
Moda $247 1638%
Dmba $255 1691%
Geha Ppo Usa $317 2102%
Multiplan $333 - $357 2208%
First Choice Of The Midwest $357 2367%
Interwest Health $357 2367%
St. John'S Health Network $357 2367%
Coventry First Health $361 2394%
Shashone-Bannock Tribal Health $396 2626%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Channing Way, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals