CMS Price Transparency Data

Blood test, vitamin B12

Facility: Cambridge Health Alliance

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $73
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 4.84x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Cambridge Health Alliance is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.84x the Medicare baseline. Located in 1493 Cambridge Street, Cambridge, MA.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $73 (484%)
Insurance Median: $73 (484%)
Cash: $73 (484% of Medicare)
Ins. Median: $73 (484% 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 484% of the Medicare baseline (a markup of 384%). 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
Boston Medical Center - Wellsense [50003] $13 86%
Fallon [50006] $13 86%
Mass General Brigham [50021] $13 - $46 86%
Mass Health [70001] $13 86%
Medicaid / KanCare $13 86%
Other Tufts Health Public Plan [75002] $13 - $25 86%
Tufts Together W Cha [75001] $13 86%
UnitedHealthcare $13 - $48 86%
Mass Bh Partnership [70098] $14 93%
Medicare (plans) $15 - $73 99%
Aarp [40001] $21 139%
Oxford Health [40004] $21 139%
United Medical Resource [40005] $21 139%
Wc [90001] $21 139%
Blue Cross Blue Shield $30 - $73 199%
Wellpoint [50012] $30 199%
Aetna $40 - $73 265%
Cigna $43 - $104 285%
Tufts Health Plan [30001] $43 - $49 285%
Health Plans Inc [20002] $48 318%
Hphc [20001] $48 318%
Multiplan [50010] $50 332%
Altus Dental [99011] $73 484%
Beacon Health Strategies [50002] $73 484%
Cbhc Uninsured Crisis Alt Payer [70097] $73 484%
Cbhc Uninsured Crisis [70096] $73 484%
Celticare [50004] $73 484%
Commonwealth Care Alliance Dental [99004] $73 484%
Coverage Discovery [90004] $73 484%
Delta Dental Of Ma [99007] $73 484%
Dominion National Dental [99012] $73 484%
Dph Tb Payor [85004] $73 484%
Esp Dental [99003] $73 484%
Eyemed Alt Payor [13001] $73 484%
First Health [50007] $73 484%
Global Medical Management [50024] $73 484%
Government Employee Health Association [50023] $73 484%
Guardian Dental [99013] $73 484%
Health Safety Net Dental [99002] $73 484%
Humana $73 484%
Ma Laborers Health And Welfare Fund [50022] $73 484%
Magellan Health Services [65098] $73 484%
Mass Health Dental [99001] $73 484%
Medical Mutual Of Ohio [50019] $73 484%
Metlife Dental [99008] $73 484%
Modern Assistance Program [30098] $73 484%
Mva [90002] $73 484%
Neighborhood Health Plan [50011] $73 484%
Other Bh Payor [50014] $73 484%
Other Commercial Payor [50015] $73 484%
Other Dental Payor [99014] $73 484%
Other Dual Eligible Payer [65004] $73 484%
Other Gov'T Alt [85006] $73 484%
Other Vision Payor [50013] $73 484%
Ri Neighborhood Health Plan [50017] $73 484%
Tricare $73 484%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1493 Cambridge Street, Cambridge, MA 02139
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals