CMS Price Transparency Data

Blood test, vitamin B12

Facility: The Women's Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $190
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at The Women's Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$190

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: $190 (1260%)
Insurance Median: $15 (99%)
Cash: $190 (1260% 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
Amish $6 - $30 40%
Blue Cross Blue Shield $7 - $15 46%
UnitedHealthcare $9 - $257 60%
Aetna $12 - $74 80%
Meridian Health Il $12 - $15 80%
Molina Il $12 - $15 80%
Caresource $15 99%
Caresource Hip $15 99%
Caresource In $15 99%
Chamber Care $15 - $51 99%
Humana $15 99%
Iu Health $15 - $161 99%
Mdwise Hip $15 99%
Mhs $15 99%
Mhs Behavioral $15 99%
Molina Ky $15 99%
Molina Ky Dual $15 99%
Passport Molina Ky $15 - $74 99%
Patoka Valley Health Care (80/20 Plan) $15 99%
Patoka Valley Health Care (90/10 Plan) $15 99%
Wellcare Ky $15 - $74 99%
Alliance Coal $16 - $223 106%
Ambetter / Centene $17 - $23 113%
Caresource Marketplace (Just4Me) $20 - $23 133%
Hst $20 - $23 133%
One Care $20 - $225 133%
Allied National/Zelis - Freedom Plan $21 - $37 139%
Claimdoc $22 146%
Encorecombined $23 - $225 153%
Encoreprime $23 - $219 153%
Hope Trust $24 - $25 159%
Noncontracted $24 159%
Cigna $27 - $232 179%
Claritev (Formerly Phcs/Mulitplan) $27 - $222 179%
First Health/Coventry $27 - $238 179%
Healthlink $27 - $273 179%
Sagamore $27 - $232 179%
Self Pay $30 - $190 199%
Center Care $51 - $251 338%
Immergrun $134 889%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals