CMS Price Transparency Data

Blood test, vitamin B12

Facility: Essentia Health Holy Trinity Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Essentia Health Holy Trinity Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 115 Second Street West, Box 157, Graceville, MN.
Cash / Self-Pay
$83

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: $83 (550%)
Insurance Median: $15 (99%)
Cash: $83 (550% 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
Healthpartners Care Pmap $5 - $82 33%
Medica Access $6 - $131 40%
Sanford Healthplan $6 - $95 40%
Blue Cross Blue Shield $7 - $183 46%
Blue Plus Pmap Pcc Prime $8 - $183 53%
Advocare/Security Health $9 - $130 60%
Cigna $9 - $140 60%
Freedom Blue Ppo $9 - $130 60%
Healthpartners $9 - $140 60%
Healthpartners Care Msho / Mcr Adv $9 - $130 60%
Healthpartners Pcc Prime $9 - $140 60%
Imcare Msho Pcc Prime $9 - $130 60%
Imcare Msho Ref Req $9 - $130 60%
Medica Advantage Solutions $9 - $130 60%
Medica Msho/Dual Solutions $9 - $130 60%
Medica Prime Solution Group $9 - $130 60%
Medicare (plans) $9 - $130 60%
Nd Va Administration $9 - $130 60%
Platinum Blue/Vantage Blue $9 - $130 60%
Primewest Msho $9 - $130 60%
Secure Blue Msho $9 - $130 60%
Ubh Cost Plan $9 - $130 60%
Ubh Msho $9 - $130 60%
Ucare $9 - $138 60%
Ucare Msho $9 - $130 60%
UnitedHealthcare $9 - $190 60%
Wea $10 - $162 66%
America'S Ppo $11 - $163 73%
Aetna $12 - $178 80%
Medica $12 - $184 80%
Medica Uplan $12 - $175 80%
Wps $12 - $176 80%
Medica Choice $13 - $189 86%
Itasca Med Care $15 99%
Primewest $15 99%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Second Street West, Box 157, Graceville, MN 56240
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals