CMS Price Transparency Data

Blood test, vitamin B12

Facility: Montefiore St Luke's Cornwall

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $23
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Montefiore St Luke's Cornwall is $23. 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 1.53x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $23 (153%)
Ins. Median: $23 (153% 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
Fidelis $10 - $15 66%
Aetna $12 - $23 80%
Mediblue $12 80%
Blue Cross Blue Shield $13 - $395 86%
Cdphp $13 86%
Centerlight $13 86%
Emblem $13 - $401 86%
Hudson Valley $13 86%
Medicaid / KanCare $13 86%
Oscar $13 86%
Point Comfort $13 86%
UnitedHealthcare $13 - $18 86%
Humana $14 93%
American Postal Workers $18 119%
Mvp $18 119%
Geha $23 153%
Meritain Health $23 153%
Nippon Life Insurance $23 153%
Northwell $34 225%
Healthfirst $65 431%
Cigna $147 - $163 975%
Centivo $316 2095%
Seiu1199 $376 2493%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals