CMS Price Transparency Data

Blood test, vitamin B12

Facility: UPMC Chautauqua at Wca

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $24
Cash Discount Price: $37
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at UPMC Chautauqua at Wca is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.59x the Medicare baseline. Located in 207 Foote Avenue, Jamestown, NY.

Cash / Self-Pay

$37

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

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: $37 (245%)

Insurance Median: $24 (159%)

Cash: $37 (245% of Medicare)

Ins. Median: $24 (159% 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.

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
Health Partners Plans (Jefferson Health Plan)	$13	86%
Beacon	$15 - $19	99%
Fidelis	$15	99%
Geisinger	$15 - $18	99%
Humana	$15 - $49	99%
United Behavioral Health	$15	99%
UnitedHealthcare	$15 - $40	99%
Upmc Health Plan	$15 - $37	99%
Aetna	$16 - $40	106%
Independent Health	$16	106%
Univera	$16	106%
Wellcare	$16	106%
Magnacare	$24 - $46	159%
Blue Cross Blue Shield	$38	252%
Multiplan	$46	305%
Ghi/Emblem Health	$49	325%
Statewide Independent Ppo	$54	358%
Affordable First Health	$55	365%

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 $37.
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 UPMC Chautauqua at Wca 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.