CMS Price Transparency Data

Blood test, vitamin B12

Facility: St Francis Hospital - the Heart Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at St Francis Hospital - the Heart Center is $16. 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 1.06x the Medicare baseline. Located in 100 Port Washington Boulevard, Roslyn, NY.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $16 (106%)
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
Affinity Health Plan $13 - $28 86%
Centerlight Healthcare $13 - $15 86%
Elderplan Inc. $13 - $15 86%
Emblem Health $13 - $34 86%
Fidelis Care New York $13 - $28 86%
Health First $13 - $34 86%
Health Plus $13 - $28 86%
Independent Health $13 - $15 86%
Medicaid / KanCare $13 86%
Mvp Health Plans $13 - $38 86%
Senior Whole Health $13 - $15 86%
UnitedHealthcare $13 - $56 86%
Aetna $15 - $21 99%
Blue Cross Blue Shield $15 - $56 99%
Centers Plan For Healthy Living $15 99%
Healthspring $15 99%
Humana $15 99%
Liberty Health $15 99%
Longevity Health Plan $15 99%
Medicare (plans) $15 - $16 99%
Orthonet - Uniformed Services Family Health Plan $15 99%
Pmc $15 99%
Surest $15 99%
Tricare $15 99%
Universal Healthcare $15 99%
Us Family Health Plan $15 99%
Veterans Affairs $15 99%
Agewell New York $16 106%
Partners Health Plan $16 106%
Wellcare Health Plan Inc $17 113%
Zadroga $20 133%
Mail Handlers Benefit Plan $21 139%
Meritain Health $21 139%
Nippon Life Insurance Company Of America $21 139%
Salvation Army $21 139%
Centivo $23 - $38 153%
American Plan Administrators $34 225%
Amerihealth Administrators $34 225%
Benefit Services $34 225%
Ghi Cbp Ny City Employee Alternate $34 225%
International Benefit Administrator $34 225%
Ultra Benefits Inc. $34 225%
Apwu $38 252%
Cigna $38 - $135 252%
Daniel H Cook $38 252%
Nalc $38 252%
Samba $38 252%
Brighton $39 - $135 259%
Self Pay $56 371%
Oscar Health $79 524%
Local 1199 $84 557%
Allied Wellfare Fund $135 895%
American Group Administrators $135 895%
Bakery & Confectionery Union $135 895%
Comprehensive Benefits Consultant $135 895%
Guardian Life Insurance Company Of America $135 895%
Maloney And Assoc $135 895%
Multiplan $135 895%
Performax $135 895%
Phcs $135 895%
Pomco $135 895%
Tpa Inc $135 895%
Unicare $135 895%
United Employees Health Plan $135 895%
Coventry $143 - $160 948%
Galaxy $174 1154%
Three Rivers Provider Network $174 1154%
Aither Health $193 1280%
Alpha Care $193 1280%
Dentaquest $193 1280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Port Washington Boulevard, Roslyn, NY 11576
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals