CMS Price Transparency Data

Blood test, vitamin B12

Facility: Palos Community Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $150
Cash Discount Price: $135
vs. Medicare Baseline: 9.95x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Palos Community Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 9.95x the Medicare baseline. Located in 12251 South 80Th Avenue, Palos Heights, IL.

Cash / Self-Pay

$135

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $135 (895%)

Insurance Median: $150 (995%)

Cash: $135 (895% of Medicare)

Ins. Median: $150 (995% 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 995% of the Medicare baseline (a markup of 895%). 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
Blue Cross Blue Shield	$31 - $193	206%
Aetna	$42 - $193	279%
Carelon Behavioral Health [159]	$96	637%
Healthlink [125]	$96 - $193	637%
Magellan Behavioral Hlth [136]	$116	769%
Multiplan/Phcs [142]	$135 - $193	895%
Compsych [112]	$145	962%
First Health Plan [6034]	$145	962%
Beechstreet [176]	$154	1021%
Cigna	$154 - $193	1021%
Health'S Finest Network [126]	$164	1088%
Galaxy Health Network [220]	$193	1280%
Global Excel [1712]	$193	1280%
Health Alliance [181]	$193	1280%
UnitedHealthcare	$193	1280%

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 $135.
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 Palos Community Hospital 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.