CMS Price Transparency Data

Blood test, vitamin B12

Facility: Cascade Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $77
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 5.11x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Cascade Medical Center is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 5.11x the Medicare baseline. Located in 402 Lake Cascade Parkway, Cascade, ID.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

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: $68 (451%)
Insurance Median: $77 (511%)
Cash: $68 (451% of Medicare)
Ins. Median: $77 (511% 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 511% of the Medicare baseline (a markup of 411%). 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
Regence - Traditional/Ppo $52 345%
Bc Of Idaho - Exchange/State Employer Plan $77 511%
Saint Alphonsus - Micron $77 511%
St. Luke'S - Connected Care Bc Of Idaho $77 511%
Bc Of Idaho - Ppo/Traditional/Federal $81 537%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 402 Lake Cascade Parkway, Cascade, ID 83611
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Rural Emergency Hospital