CMS Price Transparency Data

Blood test, vitamin B12

Facility: Banner Churchill Community Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $113
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 7.49x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Banner Churchill Community Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 7.49x the Medicare baseline. Located in 801 East Williams Avenue, Fallon, NV.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $60 (398%)
Insurance Median: $113 (749%)
Cash: $60 (398% of Medicare)
Ins. Median: $113 (749% 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 749% of the Medicare baseline (a markup of 649%). 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
Aetna $32 - $118 212%
Banner Health $40 265%
Hometown Health $40 - $119 265%
Silversummit Healthplan $40 - $112 265%
Triwest Healthcare Alliance Corp - Va Ccn $40 - $51 265%
UnitedHealthcare $40 - $112 265%
Humana $42 279%
Nevada Preferred Healthcare Providers $112 743%
Blue Cross Blue Shield $115 763%
Cigna $118 782%
Multiplan $118 782%
Coventry $120 796%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 East Williams Avenue, Fallon, NV 89406
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals