CMS Price Transparency Data

Blood test, vitamin B12

Facility: PAM Health Specialty Hospital of Reno

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $569
  • Cash Discount Price: $730
  • vs. Medicare Baseline: 37.73x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at PAM Health Specialty Hospital of Reno is $569. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $730. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 37.73x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$730

Average discount available for prompt cash payment at this facility.

Insurance Median
$569

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: $730 (4841%)
Insurance Median: $569 (3773%)
Cash: $730 (4841% of Medicare)
Ins. Median: $569 (3773% 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 3773% of the Medicare baseline (a markup of 3673%). 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
America'S Choice $511 3389%
Provider Network Of Amercia $547 3627%
Quik Trip $547 3627%
Usa Managed Care Organization $547 3627%
Velocity Provider Ppo Network $547 3627%
Healthsmart $569 3773%
Evolutions Healthcare System $584 3873%
Multiplan $584 3873%
Beech Street $620 4111%
Galaxy Health Network $620 4111%
Prime Health Services $620 4111%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL