CMS Price Transparency Data

Blood test, vitamin B12

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $89
Cash Discount Price: $293
vs. Medicare Baseline: 5.90x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Memorial Hospital for Cancer and Allied Diseases is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 5.90x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$293

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $293 (1943%)

Insurance Median: $89 (590%)

Cash: $293 (1943% of Medicare)

Ins. Median: $89 (590% 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 590% of the Medicare baseline (a markup of 490%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Emblem	$34 - $165	225%
Cigna	$53	351%
Oxford	$60	398%
UnitedHealthcare	$60	398%
Healthfirst	$68 - $176	451%
Fidelis	$77 - $92	511%
Aetna	$78 - $109	517%
Empire	$104 - $130	690%
Magnacare	$188 - $234	1247%
Metroplus	$190	1260%
Urn	$208	1379%
6 Degrees Health	$229	1519%
Multiplan	$264	1751%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $293.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Hospital for Cancer and Allied Diseases is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.