CMS Price Transparency Data

Blood test, vitamin B12

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Ascension Providence Hospital, Southfield and Novi is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 16001 W Nine Mile Rd, Southfield, MI.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $40 (265%)
Insurance Median: $15 (99%)
Cash: $40 (265% of Medicare)
Ins. Median: $15 (99% 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
Blue Caid Michigan $9 60%
Harbor Health Mcd $9 60%
Medicaid / KanCare $9 - $15 60%
Molina Health $9 60%
Total Health Care $9 60%
UnitedHealthcare $9 60%
Smarthealth Non Assigned $10 - $11 66%
Amerihealth Vip Care Mcr $13 - $15 86%
Aetna $15 - $18 99%
Auto Insurance $15 99%
Bc Metro Detroit Epo $15 99%
Bc Metro Detroit Hmo $15 99%
Bcn Local Network Southeast $15 99%
Blue Care Network $15 99%
Blue Cross Blue Shield $15 99%
Humana $15 99%
Jvhl - Mcr Replacement $15 99%
Mcr Replacement $15 99%
Veterans Choice $15 99%
Meridian Wellcare $16 106%
Molina Advantage $16 106%
Ambetter / Centene $19 126%
Molina Marketplace $19 126%
Priority Ppo $21 139%
Smart Health $21 139%
Hap Alliance Health $23 153%
Hap Hmo Pos $23 153%
Priority Health Hmo $24 159%
Hap Preferred $27 179%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16001 W Nine Mile Rd, Southfield, MI 48075
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals