CMS Price Transparency Data

Blood test, vitamin B12

Facility: Southern Hills Hospital and Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $1,029
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Southern Hills Hospital and Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,029. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$1,029

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $1,029 (6824%)
Insurance Median: $16 (106%)
Cash: $1,029 (6824% of Medicare)
Ins. Median: $16 (106% 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.

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
Aetna $2 - $25 13%
Community Care Health $10 66%
Molina Healthcare $10 - $11 66%
Sierra Hpn $10 66%
Ambetter / Centene $11 - $16 73%
Caresource $11 73%
Alignment Health Plan $15 99%
Blue Cross Blue Shield $15 - $19 99%
Caremore $15 99%
Health Net $15 99%
Hometown Health Mcr $15 99%
Humana $15 99%
Select Health $15 - $237 99%
Sierra $15 99%
Triwest $15 99%
United $15 - $224 99%
Health Services Coalition $16 106%
Imperial Nv $17 113%
Universal Healthcare $18 119%
Cigna $39 259%
Corvel $54 358%
Olympus Medsave Usa $56 - $772 371%
Prominence Healthfirst $309 2049%
Cmn Global $432 2865%
Evernorth $514 3408%
Hometown Health Providers $514 3408%
Nv Health & Welfare Trust $617 4092%
Multiplan $648 - $751 4297%
First Health $679 - $823 4503%
Medcare International $772 5119%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals