CMS Price Transparency Data

Blood test, vitamin B12

Facility: Boston Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Boston Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $48 (318%)
Insurance Median: $16 (106%)
Cash: $48 (318% of Medicare)
Ins. Median: $16 (106% 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
Fallon Healthcre Aco [1121] $13 86%
Hlth New England Aco [1123] $13 86%
Mass General Brigham Health Plan Aco [1120] $13 86%
Mass General Brigham Health Plan Mcd Mnged [1107] $13 86%
Medicaid / KanCare $13 86%
Tufts Together Aco [1122] $13 86%
Tufts Together Mco [1125] $13 86%
Wellsense Alli Aco [1118] $13 86%
Wellsense Essential Mco [1101] $13 86%
Oxford Health [1007] $14 93%
Oxford Health [2024] $14 93%
United [2025] $14 - $41 93%
UnitedHealthcare $14 - $15 93%
Zzzunited [1008] $14 - $41 93%
Aetna $15 - $52 99%
Blue Cross Blue Shield $15 - $30 99%
Corrections [9001] $15 - $19 99%
Humana $15 99%
Medicare (plans) $15 - $16 99%
Neighborhood Pace [1206] $15 99%
Tufts [8002] $15 - $41 99%
Ubh Hphc [8016] $15 99%
Veterans Admin [9003] $15 99%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $15 99%
Cca [1215] $16 106%
Eternalhealth [1227] $16 106%
Wellcare [1240] $16 106%
Wellsense [7001] $16 106%
Zzzcca Onecare [1216] $16 106%
Cigna $17 - $41 113%
Fallon Sco [1126] $17 113%
Champva [9004] $18 119%
Senior Whole Health [1210] $18 119%
Tricare $18 119%
Tufts Conncare/Qhp [8020] $18 - $21 119%
Fallon [8008] $20 133%
Workers Comp [5002] $21 139%
Zzzbu Employee Work Comp [5004] $21 139%
Zzzcity Of Boston Work Comp [5003] $21 139%
Unicare [8004] $26 172%
Wellpoint [2034] $26 172%
Harvard Pilgrim Health Care [8001] $41 272%
Health Plans Inc [2027] $41 272%
Zzzhealth Plans Inc [1013] $41 272%
Uphams Corner Esp [1213] $42 279%
Meritain Health [1023] $47 312%
Mass General Brigham Health Plan Commercial [8009] $57 378%
Hsn Bad Debt [4003] $513 3402%
Hsn Confidential [4007] $513 3402%
Hsn Dental [4006] $513 3402%
Hsn Partial [4002] $513 3402%
Hsn [4001] $513 3402%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals