CMS Price Transparency Data

Blood test, vitamin B12

Facility: St John's Episcopal Hospital at South Shore

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $159
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at St John's Episcopal Hospital at South Shore is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 327 Beach 19Th Street, Far Rockaway, NY.
Cash / Self-Pay
$159

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $159 (1054%)
Insurance Median: $15 (99%)
Cash: $159 (1054% of Medicare)
Ins. Median: $15 (99% 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
Vns $14 - $15 93%
Aetna $15 - $21 99%
Blue Cross Blue Shield $15 - $23 99%
Centerlight $15 99%
Centers Plan For Healthy Living $15 99%
Elderplan $15 99%
Emblem Health $15 99%
Fidelis $15 99%
Hamaspik $15 99%
Healthfirst $15 99%
Humana $15 99%
Longevity $15 99%
Lucida $15 99%
Metroplus $15 99%
UnitedHealthcare $15 - $21 99%
Village Care Max $15 99%
Wellcare $15 99%
Magnacare $17 113%
Molina $17 113%
1199 National Benefit Fund $21 139%
Cigna $35 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 327 Beach 19Th Street, Far Rockaway, NY 11691
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals