CMS Price Transparency Data

Blood test, vitamin B12

Facility: Mercy Health Rehabilitation Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $120
  • Cash Discount Price: $120
  • vs. Medicare Baseline: 7.96x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Mercy Health Rehabilitation Hospital is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 7.96x the Medicare baseline. Located in 3180 Belmont Ave, Youngstown, OH.
Cash / Self-Pay
$120

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $120 (796%)
Insurance Median: $120 (796%)
Cash: $120 (796% of Medicare)
Ins. Median: $120 (796% 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 796% of the Medicare baseline (a markup of 696%). 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
Medical Mutual Nas $26 - $74 172%
Aultcare $32 - $92 212%
Multiplan $40 - $114 265%
Aetna $48 - $135 318%
Ambetter / Centene $48 - $135 318%
Blue Cross Blue Shield $48 - $135 318%
Caresource Exchange $48 - $135 318%
Cigna $48 - $135 318%
Devoted $48 - $135 318%
Highmark Ppo Commercial $48 - $135 318%
Highmark Ppo Exchange $48 - $135 318%
Humana $48 - $135 318%
Medicaid / KanCare $48 - $135 318%
Medical Mutual Exchange $48 - $135 318%
Medical Mutual Medflex $48 - $135 318%
Medical Mutual New Biz $48 - $135 318%
Medical Mutual Supermed Commercial $48 - $135 318%
Medical Mutual Traditional Commercial $48 - $135 318%
Medicare (plans) $48 - $135 318%
Molina Exchange $48 - $135 318%
UnitedHealthcare $48 - $135 318%
Upmc $48 - $135 318%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3180 Belmont Ave, Youngstown, OH 44505
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL