CMS Price Transparency Data

Blood test, vitamin B12

Facility: Holland Community Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $22
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Holland Community Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.46x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $31 (206%)
Insurance Median: $22 (146%)
Cash: $31 (206% of Medicare)
Ins. Median: $22 (146% 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
Nomi Health - All Plans $8 53%
UnitedHealthcare $8 - $52 53%
Life Circles-All Plans $14 93%
Health Alliance Mcr Adv $15 99%
Ph Mcr Adv $15 99%
Va Ccn - All Plans $15 99%
Aetna $16 - $21 106%
Longevity Health Plan-All Plans $16 106%
Molina Mcaid - All Plans $17 113%
Ph Mcaid $17 113%
Blue Cross Blue Shield $18 119%
Cofinity -All Plans $18 119%
Asr - All Plans $23 153%
Health Alliance Ahl - All Other Plans $23 153%
Health Alliance Hmo $23 153%
Sisco Epi $25 166%
Sisco-All Other Plans $25 166%
Cigna $43 285%
Multiplan - All Plans $45 298%
Benefit Source Inc-All Plans $47 312%
First Health-All Plans $47 312%
Priority Health - All Other Plans $47 312%
Usa Managed Care-All Plans $47 312%
Integrated Health Plans-All Plans $49 325%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals