CMS Price Transparency Data

Blood test, vitamin B12

Facility: Southcoast Hospitals Group

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $18
Cash Discount Price: $60
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Southcoast Hospitals Group is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.19x the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$60

Average discount available for prompt cash payment at this facility.

Insurance Median

$18

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: $60 (398%)

Insurance Median: $18 (119%)

Cash: $60 (398% of Medicare)

Ins. Median: $18 (119% 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.

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
Aetna	$15 - $91	99%
Blue Cross Blue Shield	$15 - $30	99%
Evercare [1010304]	$15	99%
Medicare (plans)	$15 - $29	99%
Tufts Senior Care Options [1010315]	$15	99%
UnitedHealthcare	$15 - $18	99%
Wellsense Health Plan Senior Care Options [1020208	$15	99%
Commonwealth Care Alliance [1080501]	$16	106%
Tufts Health Public Plans [1010213]	$16	106%
Eternal Health [1010322]	$17	113%
Fallon [1000114]	$21	139%
Wellsense Health Plan Clarity Connectorcare & Meta	$25	166%
Harvard Pilgrim [1010602]	$32	212%
Cigna	$34	225%
Wellpoint [1000102]	$47	312%
Tufts [1010701]	$50	332%
Mass General Brigham Health Plan Commercial [10122	$67	444%
Mass General Brigham Health Plan Connectorcare [10	$67	444%
Group Insurance Service Center [1013001]	$71	471%
Innovative Health Plan [1025001]	$71	471%
Priority Health [1015001]	$71	471%
PHCS [1000125]	$77	511%
First Health [1000130]	$91	603%

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 $60.
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 Southcoast Hospitals Group 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.