CMS Price Transparency Data

Blood test, vitamin B12

Facility: Monroe Hospital

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 Monroe Hospital 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 4011 S Monroe Medical Park Blvd, Bloomington, IN.
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 $15 99%
Blue Cross Blue Shield $15 - $27 99%
Care Source $15 - $22 99%
Medicaid / KanCare $15 99%
Medicare (plans) $15 99%
Monroe Medical Group And Managed Health Services $15 - $20 99%
Tricare $15 99%
UnitedHealthcare $15 99%
Usa Senior Care Network $15 99%
Worthington Christian Fellowship $15 99%
Provider Partners Health Plan $17 113%
Employer Direct Healthcare $21 139%
Corvel Workers Compensation $26 172%
Americas Choice Provider Network Acpn $29 192%
Multiplan $29 192%
Prime Health Services $29 192%
Three Rivers $29 192%
Zelis Healthcare Fka Stratose $29 192%
Encore Health Network Workers Compensation $30 199%
Provider Network Of America $30 199%
Provider Select $30 199%
Workers Compensation $30 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals