CMS Price Transparency Data

Blood test, vitamin B12

Facility: Lovelace UNM Rehabilitation Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $394
Cash Discount Price: $131
vs. Medicare Baseline: 26.13x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Lovelace UNM Rehabilitation Hospital is $394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 26.13x the Medicare baseline. Located in 505 Elm Street Ne, Albuquerque, NM.

Cash / Self-Pay

$131

Average discount available for prompt cash payment at this facility.

Insurance Median

$394

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: $131 (869%)

Insurance Median: $394 (2613%)

Cash: $131 (869% of Medicare)

Ins. Median: $394 (2613% 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 2613% of the Medicare baseline (a markup of 2513%). 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
The Health Plan [2915]	$85	564%
Healthscope Benefits [2290]	$210	1393%
UnitedHealthcare	$210	1393%
Benefit Management [1175]	$219	1452%
Zelis [2385]	$219	1452%
American Medical Security [2190]	$394	2613%
Boon-Chapman [2375]	$394	2613%
Coresource [1315]	$394	2613%
Coventry Healthcare [1320]	$394	2613%
Emblem Health [2430]	$394	2613%
Employee Benefit Management Services [2445]	$394	2613%
First Health [1375]	$394	2613%
Fmh Benefit Services [1390]	$394	2613%
Healthcost Solutions [2415]	$394	2613%
Healthnet [1495]	$394	2613%
Healthsmart [1505]	$394 - $407	2613%
Kaiser Permanente [1560]	$394	2613%
Multiplan [1680]	$394	2613%
Mutual Of Omaha [1685]	$394	2613%
National Telephone Cooperative [1700]	$394	2613%
Northamerica Administrators [1725]	$394	2613%
Pan American Life Insurance Co [1770]	$394	2613%
Phcs [1780]	$394	2613%
Trustmark [2030]	$394	2613%

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 $131.
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 Lovelace UNM Rehabilitation 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.