CMS Price Transparency Data

Blood test, vitamin B12

Facility: Montefiore Mount Vernon Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Montefiore Mount Vernon Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 12 North 7Th Avenue, Mount Vernon, NY.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $113 (749%)
Insurance Median: $15 (99%)
Cash: $113 (749% of Medicare)
Ins. Median: $15 (99% 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
Wellcare $9 - $13 60%
Amidacare $13 - $14 86%
Blue Cross Blue Shield $13 - $139 86%
Centerlight $13 - $14 86%
Emblem $13 - $139 86%
Fidelis $13 - $22 86%
Healthfirst $13 - $20 86%
Medicaid / KanCare $13 86%
Point Comfort $13 86%
UnitedHealthcare $13 - $30 86%
Villagecaremax $13 86%
Vnsny Choice $13 - $15 86%
Humana $14 93%
Longevity $14 93%
Vnsny Select Health $15 99%
Metroplus $16 106%
Oscar $18 119%
Mvp $26 172%
American Postal Workers $30 199%
Aetna $67 - $75 444%
Centivo $110 729%
Elderplan $139 922%
Cigna $147 - $163 975%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals