CMS Price Transparency Data

Blood test, vitamin B12

Facility: Jacobi Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $75
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 4.97x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Jacobi Medical Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.97x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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%)
Insurance Median: $75 (497%)
Ins. Median: $75 (497% 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 497% of the Medicare baseline (a markup of 397%). 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 $11 - $44 73%
Healthfirst $13 - $169 86%
Elderplan $15 99%
Fidelis $15 - $169 99%
Magnacare $18 119%
Villagecare Max $18 - $54 119%
Oxford $22 146%
United $22 - $94 146%
Oscar $23 153%
Centerlight $32 212%
Cigna $37 245%
Wellcare $38 252%
Carelon $41 - $75 272%
Emblem $44 - $101 292%
Blue Cross Blue Shield $49 - $169 325%
Multiplan $51 338%
Local 1199 $54 358%
Vnsny $54 - $77 358%
Metroplus $72 - $169 477%
Amidacare $75 497%
Senior Whole Health $75 497%
United Behavioral Health $75 - $83 497%
Affinity $77 - $169 511%
Carelon (Amida Care) $77 511%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals