CMS Price Transparency Data

Blood test, vitamin B12

Facility: Montefiore New Rochelle Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $13
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Montefiore New Rochelle Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.86x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $98 (650%)
Insurance Median: $13 (86%)
Cash: $98 (650% of Medicare)
Ins. Median: $13 (86% 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
Molina Healthcare Of Ny Affinity $12 - $28 80%
Amidacare $13 86%
Centerlight $13 86%
Emblem $13 - $121 86%
Empire $13 - $121 86%
Fidelis $13 - $15 86%
Hamaspik $13 - $14 86%
Healthfirst $13 86%
Medicaid / KanCare $13 86%
Metroplus $13 - $23 86%
Mvp $13 - $26 86%
Partners_Health_Plan $13 86%
UnitedHealthcare $13 - $30 86%
Villagecaremax $13 86%
Vnsny Choice $13 - $15 86%
Wellcare $13 86%
Humana $14 93%
Vnsny Select Health $15 99%
Oscar $18 119%
Aetna $67 - $75 444%
Centivo $95 630%
Cigna $144 955%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16 Guion Place, New Rochelle, NY 10802
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals