CMS Price Transparency Data

Blood test, vitamin B12

Facility: Desert View Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $70
Cash Discount Price: $59
vs. Medicare Baseline: 4.64x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Desert View Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.64x the Medicare baseline. Located in 360 South Lola Lane, Pahrump, NV.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $59 (391%)

Insurance Median: $70 (464%)

Cash: $59 (391% of Medicare)

Ins. Median: $70 (464% 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 464% of the Medicare baseline (a markup of 364%). 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
Silversummit	$10	66%
Smartchoice	$10	66%
Sr.Careplus	$23	153%
Humana	$27 - $88	179%
Ambetter / Centene	$41	272%
Hpn	$47	312%
Sierra	$47	312%
UnitedHealthcare	$47 - $65	312%
Cigna	$74	491%
Beechstreet	$88	584%
Coventry	$88	584%
Multiplan	$88	584%
Prominence	$88	584%
Aetna	$94	623%
Affiliated	$110	729%
Blue Cross Blue Shield	$125	829%

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 $59.
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 Desert View 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.