CMS Price Transparency Data

Blood test, vitamin B12

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $44
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.92x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Intermountain Health St Vincent Regional Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.92x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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%)
Insurance Median: $44 (292%)
Ins. Median: $44 (292% 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 292% of the Medicare baseline (a markup of 192%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Medicare (plans) $15 99%
UnitedHealthcare $15 - $51 99%
Ebms-Employee Benefit Mng $25 - $55 166%
First Choice Health $29 - $55 192%
Other $29 - $49 192%
Sibanye Stillwater Health Partners $29 192%
Coastal Administrative Services $30 199%
Exchange Other $33 - $36 219%
Mt Health Co-Op $33 - $36 219%
Meritain Health $34 - $55 225%
Aetna $35 232%
Allegiance $37 - $50 245%
Cigna $37 - $50 245%
Pacific Steel And Recycling $38 252%
Pacificsource $38 - $55 252%
Blue Cross Blue Shield $40 - $120 265%
Preferred One $47 - $51 312%
Interwest $49 - $50 325%
Private Hlthcare Sys $49 - $50 325%
Geha $50 - $51 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1233 N 30Th St, Billings, MT 59107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals