CMS Price Transparency Data

Blood test, vitamin B12

Facility: UMass Memorial Health - Harrington Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $69
Cash Discount Price: $170
vs. Medicare Baseline: 4.58x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at UMass Memorial Health - Harrington Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.58x the Medicare baseline. Located in 100 South Street, Southbridge, MA.

Cash / Self-Pay

$170

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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: $170 (1127%)

Insurance Median: $69 (458%)

Cash: $170 (1127% of Medicare)

Ins. Median: $69 (458% 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 458% of the Medicare baseline (a markup of 358%). 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
Masshealth [20302]	$13	86%
Medicaid / KanCare	$13 - $15	86%
Cigna	$15 - $163	99%
Institution [10406]	$15	99%
Mgb Mcr [10124]	$15	99%
Tufts Us Family [11203]	$15	99%
Aetna	$16 - $230	106%
Blue Cross Blue Shield	$16 - $48	106%
Commonwealth Care Alliance [10103]	$16	106%
Fallon Mcr Supp [20202]	$16	106%
Fallon Mcr [10105]	$16	106%
Senior Whole Health [10110]	$16	106%
Tufts Mcr [10112]	$16	106%
UnitedHealthcare	$16 - $230	106%
Champva [11001]	$18	119%
Workers Compensation [20501]	$21	139%
Tufts Connectorcare [10507]	$26	172%
Wellpoint [11112]	$39	259%
Harvard Pilgrim [10701]	$56 - $67	371%
Hne [11108]	$72 - $150	477%
Tufts [11201]	$78 - $163	517%
First Health Network [11120]	$82 - $172	544%
Evernorth Behavioral Health [27]	$88 - $184	584%
Fallon Connectorcare [10503]	$103	683%
Connecticare [11105]	$110 - $230	729%
Fallon Carelon Hlth [28]	$110 - $230	729%
Fallon Mcaid Carelon Hlth [29]	$110 - $230	729%
Grants [20507]	$110 - $230	729%
Masshealth Mcd Mbhp [38]	$110 - $230	729%
Wellsense Mcaid Carelon Hlth [21]	$110 - $230	729%
Hsno/Free Care [10801]	$681	4516%

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 $170.
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 UMass Memorial Health - Harrington 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.