CMS Price Transparency Data

Blood test, vitamin B12

Facility: Memorial Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $24
Cash Discount Price: $171
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Memorial Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.59x the Medicare baseline. Located in 715 South Taft Avenue, Fremont, OH.

Cash / Self-Pay

$171

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: $171 (1134%)

Insurance Median: $24 (159%)

Cash: $171 (1134% 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
Meridian Health Plan Of Mi	$8 - $175	53%
Humana	$11 - $15	73%
Aetna	$13 - $291	86%
Summacare	$13 - $162	86%
Paramount Healthcare Inc	$14 - $237	93%
Blue Cross Blue Shield	$15 - $142	99%
Buckeye Community Health Plan	$15 - $175	99%
Caresource	$15 - $24	99%
Frontpath	$15 - $161	99%
Health Alliance Plan	$15 - $171	99%
Molina Healthcare Of Ohio	$15 - $364	99%
UnitedHealthcare	$16 - $208	106%
Cigna	$17 - $183	113%
Medical Mutual Of Ohio	$17 - $176	113%
Multiplan	$17 - $237	113%
Health Ohio Network	$19 - $181	126%
Amerihealth	$26 - $237	172%

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 $171.
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 Memorial Hospital 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.