CMS Price Transparency Data

Blood test, vitamin B12

Facility: Fisher-Titus Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $74
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 4.91x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Fisher-Titus Hospital is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.91x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $95 (630%)
Insurance Median: $74 (491%)
Cash: $95 (630% of Medicare)
Ins. Median: $74 (491% 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 491% of the Medicare baseline (a markup of 391%). 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
Blue Cross Blue Shield $7 - $96 46%
Amerihealth $14 93%
Buckeye $14 - $15 93%
Caresource $14 - $15 93%
Molina $14 93%
UnitedHealthcare $14 - $96 93%
Aetna $15 - $91 99%
Medical Mutual Of Ohio $15 - $61 99%
Paramount $15 - $94 99%
Perennial Advantage $15 - $16 99%
Sidecar $15 - $73 99%
Summacare $15 - $92 99%
Wellcare $15 99%
Zing Health $15 99%
Valor Health $16 106%
Health Ohio Network $74 491%
Tricare $79 - $84 524%
Cigna $84 557%
Claimsdoc $84 557%
First Health $94 623%
Multiplan $94 623%
Ohio Health Choice $94 623%
Healthscope $96 637%
Emerald Health $102 676%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 272 Benedict Avenue, Norwalk, OH 44857
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals