CMS Price Transparency Data

Blood test, vitamin B12

Facility: Medstar Harbor Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $45
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 2.98x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Medstar Harbor Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.98x the Medicare baseline. Located in 3001 South Hanover Street, Baltimore, MD.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $44 (292%)
Insurance Median: $45 (298%)
Cash: $44 (292% of Medicare)
Ins. Median: $45 (298% 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 298% of the Medicare baseline (a markup of 198%). 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
Aetna $45 298%
Amerigroup $45 298%
Amerihealth Caritas District Of Columbia $45 298%
Carefirst Advantage Inc $45 298%
Carefirst Blue Choice Inc $45 298%
Cigna $45 298%
First Health $45 298%
Hscsn $45 298%
Humana $45 298%
Kaiser Permanente $45 298%
Magellan Behavioral Health Inc $45 298%
Mamsi $45 298%
Medstar Family Choice $45 298%
Medstar Family Choice Inc $45 298%
Ncppo Healthlink Ppo $45 298%
Pfc $45 298%
Private Healthcare Systems (Phcs) $45 298%
Tricare $45 298%
United Behavioral Health Inc $45 298%
UnitedHealthcare $45 298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3001 South Hanover Street, Baltimore, MD 21225
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals