CMS Price Transparency Data

Blood test, vitamin B12

Facility: Henry Ford Macomb Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Henry Ford Macomb Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $15 (99%)
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
Hap $2 - $31 13%
Aetna $8 - $51 53%
Blue Cross Blue Shield $8 - $17 53%
Mclaren $8 53%
Meridian Health Plan Of Mi $8 - $20 53%
Priority Health $8 - $53 53%
Molina $9 - $20 60%
Humana $12 - $15 80%
Pace Of Se Mi $14 93%
Bcn $15 99%
Cca Health Michigan $15 99%
Hap Caresource $15 99%
Mclaren Health $15 - $50 99%
Molina Mi Health Link $15 99%
Mount Carmel Health Plan $15 99%
UnitedHealthcare $15 - $18 99%
Wellcare $15 99%
Cofinity Group Health $35 - $57 232%
Vitalcore Physicians Group Of Mi $48 318%
Multiplan, Inc. $63 418%
Cigna $76 504%
University Of Michigan $76 504%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals