CMS Price Transparency Data

Blood test, vitamin B12

Facility: NYU Langone Hospitals

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $39
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 2.59x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at NYU Langone Hospitals is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.59x the Medicare baseline. Located in 550 First Avenue, New York, NY.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $18 (119%)
Insurance Median: $39 (259%)
Cash: $18 (119% of Medicare)
Ins. Median: $39 (259% 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 259% of the Medicare baseline (a markup of 159%). 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
Healthfirst $13 - $203 86%
Fidelis $14 - $203 93%
Healthplus $14 - $203 93%
Centerlight $15 99%
Ghi $15 - $134 99%
Hip $15 - $134 99%
Medicare (plans) $15 99%
Wellcare $15 99%
Oxford $17 113%
UnitedHealthcare $17 - $203 113%
1199 $21 139%
Metroplus $21 - $203 139%
Hamaspik $23 153%
Cigna $33 219%
Aetna $38 - $213 252%
Blue Cross Blue Shield $39 - $49 259%
Medicaid / KanCare $46 - $90 305%
Somos $48 - $122 318%
Magnacare $67 - $154 444%
Amida $97 - $99 643%
Multiplan $104 - $166 690%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 First Avenue, New York, NY 10016
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals