CMS Price Transparency Data

Blood test, vitamin B12

Facility: Artesia General Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $166
Cash Discount Price: $135
vs. Medicare Baseline: 11.01x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Artesia General Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 11.01x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$135

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $135 (895%)

Insurance Median: $166 (1101%)

Cash: $135 (895% of Medicare)

Ins. Median: $166 (1101% 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 1101% of the Medicare baseline (a markup of 1001%). 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
Zelis	$13 - $95	86%
Blue Cross Blue Shield	$15 - $142	99%
Geha	$15 - $190	99%
Humana	$15 - $17	99%
Molina Healthcare Of New Mexico	$15 - $25	99%
Presbyterian Health Plan	$15 - $25	99%
Triwest	$15	99%
UnitedHealthcare	$15 - $201	99%
Vistacare Hospice	$15	99%
New Mexico Health Connections	$26	172%
First Health	$29 - $213	192%
Providence Risk & Insurance Services	$30 - $225	199%
Omni Networks	$150 - $166	995%
Three Rivers Provider Network	$160 - $178	1061%
Cigna	$182 - $213	1207%
Galaxy Health	$193 - $213	1280%
One Health Plan	$193 - $213	1280%
Multiplan	$195 - $216	1293%
United Payors & United Providers	$199 - $220	1320%

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 $135.
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 Artesia General Hospital 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.