CMS Price Transparency Data

Blood test, vitamin B12

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $202
Cash Discount Price: $104
vs. Medicare Baseline: 13.40x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Crystal Clinic Orthopaedic Center is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 13.40x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$202

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: $104 (690%)

Insurance Median: $202 (1340%)

Cash: $104 (690% of Medicare)

Ins. Median: $202 (1340% 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 1340% of the Medicare baseline (a markup of 1240%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Bc Mcr Adv	$15	99%
Summacare Mcr Adv	$15	99%
UnitedHealthcare	$15 - $290	99%
The Health Plan - All Plans	$30	199%
Aultcare - All Plans	$44	292%
Health Oh Network - All Plans	$83	550%
Ohio Health Choice - All Plans	$83	550%
Med Mutual Nas	$86	570%
Multiplan - All Plans	$91	603%
Healthsmart - All Plans	$117	776%
Bc Pathway	$173	1147%
Cigna	$232	1538%
Bc Ohi/Ohii	$237	1572%
Summacare Comm - All Other Plans	$255	1691%
Med Mutual Medflex	$258	1711%
Bc Blue Access	$263	1744%
Bc Preferred	$263	1744%
Bc Trad - All Other Plans	$263	1744%
Med Mutual Aca	$294	1950%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$323	2142%
Aetna	$327	2168%

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 $104.
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 Crystal Clinic Orthopaedic Center 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.