CMS Price Transparency Data

Blood test, vitamin B12

Facility: Albany Medical Center Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Albany Medical Center Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$16

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: $16 (106%)
Insurance Median: $16 (106%)
Cash: $16 (106% 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
Fidelis $6 - $104 40%
Blue Shield Highmark $8 - $30 53%
Magnacare $8 - $138 53%
UnitedHealthcare $8 - $138 53%
Blue Cross Blue Shield $9 - $101 60%
Multiplan $9 - $147 60%
Aetna $11 - $35 73%
Blue Shield $11 - $48 73%
Cdphp $11 - $101 73%
Empire Plan Nyship $11 - $21 73%
Mvp $11 - $45 73%
Medicaid / KanCare $13 86%
Cigna $15 99%
Hamaspik $15 - $105 99%
Medicare (plans) $15 99%
Emblem Health Ghi $16 - $29 106%
Mvp Commercial $16 106%
Nascentia Health Options $16 106%
Tricare $16 106%
Emblem $17 - $28 113%
Nascentia $17 113%
Emblem_Ghi $28 186%
Mvp Essential Plan $96 637%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals