CMS Price Transparency Data

Blood test, vitamin B12

Facility: Holy Family Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Holy Family Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 100 N River Rd, Des Plaines, IL.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $15 (99%)
Insurance Median: $15 (99%)
Cash: $15 (99% of Medicare)
Ins. Median: $15 (99% 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
Aetna $9 - $23 60%
Blue Cross Blue Shield $9 - $21 60%
Cigna $9 60%
Countycare $9 60%
Humana $9 - $17 60%
Medicaid / KanCare $9 60%
Meridian $10 - $16 66%
Molina $10 - $23 66%
Celtic (Wellcare) $15 99%
Clear Spring Health Of Illinois $15 99%
Devoted Health $15 99%
Essential Health Partners $15 - $17 99%
Illinois Physicians Alliance $15 99%
Longevity Health Plan Of Illinois $15 99%
Medicare (plans) $15 99%
Ravenswood Physicians Associates Ipa $15 99%
Resurrection Physicians Provider Group Ipa $15 - $18 99%
Self-Pay $15 99%
Tricare $15 99%
United Behavioral Health $15 99%
UnitedHealthcare $15 - $19 99%
Provider Partners Health Plan (Pphp) $16 106%
Zing Health Provider Network $16 106%
Access Community Health Network $18 119%
Imagine Health Network $22 146%
Clifton Health Systems $23 153%
Ambetter / Centene $24 159%
Health Link, Inc. $121 802%
Coventry $144 955%
Workers Comp $144 955%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 N River Rd, Des Plaines, IL 60016
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL