CMS Price Transparency Data

Blood test, vitamin B12

Facility: Essentia Health Northern Pines Medical Center

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 Northern Pines Medical Center 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 5211 Highway 110, Aurora, 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Advocare/Security Health	$5 - $82	33%
Blue Cross Blue Shield	$5 - $169	33%
Blue Plus Pmap Pcc Prime	$5 - $116	33%
Freedom Blue Ppo	$5 - $82	33%
Healthpartners Care Msho / Mcr Adv	$5 - $82	33%
Imcare Msho Pcc Prime	$5 - $82	33%
Imcare Msho Ref Req	$5 - $82	33%
Medica Advantage Solutions	$5 - $82	33%
Medica Msho/Dual Solutions	$5 - $82	33%
Medica Prime Solution Group	$5 - $82	33%
Medicare (plans)	$5 - $82	33%
Nd Va Administration	$5 - $82	33%
Platinum Blue/Vantage Blue	$5 - $82	33%
Primewest Msho	$5 - $82	33%
Secure Blue Msho	$5 - $82	33%
Ubh Cost Plan	$5 - $82	33%
Ubh Msho	$5 - $82	33%
Ucare Msho	$5 - $82	33%
UnitedHealthcare	$5 - $190	33%
Healthpartners Care Pmap	$6 - $84	40%
Medica Access	$6 - $131	40%
Sanford Healthplan	$6 - $95	40%
Healthpartners	$9 - $167	60%
Ucare	$9 - $138	60%
Medica	$10 - $167	66%
Medica Uplan	$10 - $150	66%
Wea	$10 - $162	66%
America'S Ppo	$11 - $163	73%
Cigna	$11 - $167	73%
Healthpartners Pcc Prime	$11 - $167	73%
Medica Choice	$11 - $172	73%
Aetna	$12 - $178	80%
Healtheos	$12 - $181	80%
Wps	$12 - $176	80%
Security Health	$14 - $210	93%
Itasca Med Care	$15	99%
Primewest	$15	99%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $83.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Essentia Health Northern Pines Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.