CMS Price Transparency Data
Blood test, vitamin B12
Facility: Mercy Health Saint Mary's
Billing Code: 82607 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82607
- Insurance Median: $20
- Cash Discount Price: $30
- vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Mercy Health Saint Mary's is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.33x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$30
Average discount available for prompt cash payment at this facility.
Insurance Median
$20
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: $30 (199%)
Insurance Median: $20 (133%)
Cash: $30 (199% of Medicare)
Ins. Median: $20 (133% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| 1199 National Benefit Fund | $2 - $65 | 13% |
| Acs Benefit Services | $2 - $51 | 13% |
| Allied Benefit Systems | $2 - $51 | 13% |
| Allied National Global Care | $2 - $65 | 13% |
| Asr Health Benefits | $2 - $57 | 13% |
| Asrm - Reliance Standard Life Insurance | $2 - $65 | 13% |
| Caresource | $2 - $58 | 13% |
| Christian Care Ministry | $2 - $65 | 13% |
| Cigna | $2 - $65 | 13% |
| Claimchoice Adminstrators | $2 - $51 | 13% |
| Consociate | $2 - $51 | 13% |
| Cypress Benefit Administrators | $2 - $51 | 13% |
| Dean Health | $2 - $65 | 13% |
| Fallon Health | $2 - $65 | 13% |
| Family Life Insurance Company | $2 - $65 | 13% |
| Forest County Potawatomi | $2 - $51 | 13% |
| Ghc Scw | $2 - $65 | 13% |
| Group Pension Administrators | $2 - $65 | 13% |
| Hap | $2 - $69 | 13% |
| Health Smart | $2 - $51 | 13% |
| Healthgram | $2 - $51 | 13% |
| Healthscope | $2 - $51 | 13% |
| International Benefit Administrators | $2 - $65 | 13% |
| Lifetime Benefit Solutions | $2 - $65 | 13% |
| Manhattan Life | $2 - $65 | 13% |
| Medi Share | $2 - $65 | 13% |
| Multiplan | $2 - $65 | 13% |
| Mvp | $2 - $65 | 13% |
| Nomi Health | $2 - $50 | 13% |
| Pai | $2 - $65 | 13% |
| Pan-American Life | $2 - $65 | 13% |
| Paramount Hmo | $2 - $65 | 13% |
| Phcs | $2 - $65 | 13% |
| Secureone Preferred United Plans | $2 - $51 | 13% |
| Sisco Benefits | $2 - $51 | 13% |
| The Health Plan | $2 - $51 | 13% |
| Trinity Health Share | $2 - $65 | 13% |
| Trustmark Small Business Benefits | $2 - $51 | 13% |
| Unified Group Services | $2 - $51 | 13% |
| Varipro | $2 - $58 | 13% |
| Wc Accident Fund | $2 - $49 | 13% |
| Wc Advantage | $2 - $49 | 13% |
| Wc Aig | $2 - $49 | 13% |
| Wc Allied | $2 - $49 | 13% |
| Wc Amerisure | $2 - $49 | 13% |
| Wc Amtrust | $2 - $49 | 13% |
| Wc Asu Risk Mgt | $2 - $49 | 13% |
| Wc Berkley Admin | $2 - $49 | 13% |
| Wc Broadspire | $2 - $49 | 13% |
| Wc Bunch & Associates | $2 - $49 | 13% |
| Wc Ccmsi | $2 - $49 | 13% |
| Wc Emc Insurance Company | $2 - $49 | 13% |
| Wc Esis | $2 - $49 | 13% |
| Wc Fcci | $2 - $49 | 13% |
| Wc Federated | $2 - $49 | 13% |
| Wc Gallagher Bassett | $2 - $49 | 13% |
| Wc Genex Care For Ohio | $2 - $49 | 13% |
| Wc Guard Insurance Company | $2 - $49 | 13% |
| Wc Hartford | $2 - $49 | 13% |
| Wc Liberty Mutual | $2 - $49 | 13% |
| Wc Meijers | $2 - $49 | 13% |
| Wc Michigan | $2 - $49 | 13% |
| Wc Mitchell Frankenmuth | $2 - $49 | 13% |
| Wc Pma | $2 - $49 | 13% |
| Wc Sedgwick | $2 - $49 | 13% |
| Wc Sentry | $2 - $49 | 13% |
| Wc Travelers | $2 - $49 | 13% |
| Wc Tristar | $2 - $49 | 13% |
| Wc Walmart | $2 - $49 | 13% |
| Wc Zurich | $2 - $49 | 13% |
| Webtpa | $2 - $51 | 13% |
| Acclaim | $3 - $68 | 20% |
| Administrative Concepts | $3 - $68 | 20% |
| Allegeant | $3 - $68 | 20% |
| Ameriben | $3 - $68 | 20% |
| American Family | $3 - $68 | 20% |
| American Healthcare Alliance | $3 - $68 | 20% |
| American Republic | $3 - $68 | 20% |
| Amerihealth | $3 - $68 | 20% |
| Aultcare | $3 - $68 | 20% |
| Automated Benefit Services | $3 - $68 | 20% |
| Auxiant | $3 - $68 | 20% |
| Benefit Administrative Systems,Llc | $3 - $68 | 20% |
| Boon Chapman | $3 - $68 | 20% |
| Cam Administrative Services | $3 - $68 | 20% |
| Christian Brother Services | $3 - $68 | 20% |
| Christian Brothers Holy Cross | $3 - $68 | 20% |
| Cmh Allegan County | $3 - $89 | 20% |
| Cmh Ausable Valley | $3 - $89 | 20% |
| Cmh Barry County | $3 - $89 | 20% |
| Cmh Berrien County | $3 - $89 | 20% |
| Cmh Cass County | $3 - $89 | 20% |
| Cmh Clinton-Eaton-Ingham County | $3 - $89 | 20% |
| Cmh Kalamazoo | $3 - $89 | 20% |
| Cmh Kent County | $3 - $89 | 20% |
| Cmh Lenawee County | $3 - $89 | 20% |
| Cmh Misc | $3 - $89 | 20% |
| Cmh Monroe County | $3 - $89 | 20% |
| Cmh Montcalm County | $3 - $89 | 20% |
| Cmh Muskegon County | $3 - $89 | 20% |
| Cmh Newaygo County | $3 - $89 | 20% |
| Cmh North Country | $3 - $89 | 20% |
| Cmh Northern Lakes County | $3 - $89 | 20% |
| Cmh Ottawa County | $3 - $89 | 20% |
| Cmh Van Buren County | $3 - $89 | 20% |
| Cmh West Mi County | $3 - $89 | 20% |
| Comprehensive Benefits | $3 - $68 | 20% |
| Continental Life Insurance | $3 - $68 | 20% |
| Coventry | $3 - $70 | 20% |
| Custom Benefit Administrators | $3 - $68 | 20% |
| Employee Benefit Concepts | $3 - $68 | 20% |
| Employee Benefit Management | $3 - $68 | 20% |
| Enterprise Group Planning | $3 - $68 | 20% |
| First Health | $3 - $70 | 20% |
| Freedom Life Insurance Company | $3 - $68 | 20% |
| Geha | $3 - $68 | 20% |
| Group Administrators | $3 - $68 | 20% |
| Group Marketing Services | $3 - $68 | 20% |
| Guardian | $3 - $68 | 20% |
| Health America | $3 - $68 | 20% |
| Health Choices | $3 - $68 | 20% |
| Healthez | $3 - $68 | 20% |
| Humana | $3 - $89 | 20% |
| Insight | $3 - $68 | 20% |
| Intercare | $3 - $68 | 20% |
| Jfp Benefit Management | $3 - $68 | 20% |
| Jp Farley Corporation | $3 - $68 | 20% |
| Key Benefit Administrator | $3 - $68 | 20% |
| Liberty Union Life Assurance Co | $3 - $68 | 20% |
| Lucent Health | $3 - $68 | 20% |
| Luminare Health | $3 - $68 | 20% |
| Luminare Health (Detroit) | $3 - $68 | 20% |
| Magellan Behavioral Health | $3 - $89 | 20% |
| Medben | $3 - $68 | 20% |
| Medcost | $3 - $68 | 20% |
| Mutual Health Services | $3 - $68 | 20% |
| Mutual Of Omaha | $3 - $68 | 20% |
| Ncas | $3 - $68 | 20% |
| Nippon Life Ins | $3 - $68 | 20% |
| Nova | $3 - $68 | 20% |
| Painters Union Insurance Fund | $3 - $68 | 20% |
| Physicians Mutual | $3 - $68 | 20% |
| Plumbers Local 98 Insurance Fund | $3 - $68 | 20% |
| Prairie States | $3 - $68 | 20% |
| Primary Physician Care | $3 - $68 | 20% |
| Professional Benefit Administrators | $3 - $68 | 20% |
| The Loomis Company | $3 - $68 | 20% |
| U Of M Health Plan | $3 - $68 | 20% |
| Unicare | $3 - $68 | 20% |
| UnitedHealthcare | $3 - $89 | 20% |
| Us Health And Life | $3 - $68 | 20% |
| Valenz | $3 - $68 | 20% |
| Western & Southern Financial Group | $3 - $68 | 20% |
| Wps | $3 - $68 | 20% |
| Blue Cross Blue Shield | $8 - $20 | 53% |
| Medicaid / KanCare | $8 | 53% |
| Access Health | $11 | 73% |
| Aetna | $15 - $39 | 99% |
| Align Senior Care | $15 | 99% |
| Blue Care Network Advantage | $15 | 99% |
| Correctional Recovery | $15 | 99% |
| Hospice Faith | $15 | 99% |
| Hospice Of Holland | $15 | 99% |
| Medicare (plans) | $15 | 99% |
| Oscar | $15 | 99% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $17 | 113% |
| Bcn Domestic | $20 | 133% |
| Blue Benefit Administrators Of Massachusetts | $20 | 133% |
| Blue Care Network | $20 | 133% |
| Blue Distinction Transplant | $20 | 133% |
| Blue Shield - Ca | $20 | 133% |
| Blue Shield - Id (Regence) | $20 | 133% |
| Blue Shield - Ny Highmark Northeastern | $20 | 133% |
| Blue Shield - Ny Highmark Western | $20 | 133% |
| Blue Shield - Pa (Highmark) | $20 | 133% |
| Blue Shield - Wa (Regence) | $20 | 133% |
| Kaiser Domestic | $20 | 133% |
| Molina Marketplace | $20 | 133% |
| Medical Mutual | $22 | 146% |
| Meritain | $22 | 146% |
| Preferred One | $22 | 146% |
| Vitalcore | $23 | 153% |
| Wellpath | $23 | 153% |
| Priority Health | $91 - $93 | 603% |