CMS Price Transparency Data

Blood test, vitamin B12

Facility: Astera Health

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $68
Cash Discount Price: $63
vs. Medicare Baseline: 4.51x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Astera Health is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.51x the Medicare baseline. Located in 421 11Th Street Nw, Wadena, MN.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$68

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: $63 (418%)

Insurance Median: $68 (451%)

Cash: $63 (418% of Medicare)

Ins. Median: $68 (451% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 451% of the Medicare baseline (a markup of 351%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Plus Pmap [40002]	$17 - $5,128	113%
Ucare Pmap [30006]	$32 - $1,691	212%
Blue Cross Blue Shield	$36 - $5,128	239%
Health Partners [10045]	$36 - $5,128	239%
Medica Nonpmap [10056]	$36 - $6,916	239%
Medica Pmap [10057]	$36 - $3,448	239%
Primewest Non Pmap [30004]	$36 - $5,128	239%
Primewest Pmap [30003]	$36 - $3,448	239%
Ucare Non Pmap [30007]	$37 - $5,385	245%
Health Partners Pmap [10046]	$45	298%
Ucare Commercial [10705]	$62 - $66	411%
UnitedHealthcare	$66 - $69	438%
Multiplan	$71	471%
Sanford Health Plan [10120]	$75	497%
Aetna	$80	531%

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 $63.
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 Astera Health 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.