CMS Price Transparency Data

Blood test, vitamin B12

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $32
  • Cash Discount Price: $291
  • vs. Medicare Baseline: 2.12x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Oklahoma Heart Hospital, LLC is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $291. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.12x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.
Cash / Self-Pay
$291

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $291 (1930%)
Insurance Median: $32 (212%)
Cash: $291 (1930% of Medicare)
Ins. Median: $32 (212% 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 212% of the Medicare baseline (a markup of 112%). 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
Aetna $13 - $93 86%
Humana $13 - $93 86%
Blue Cross Blue Shield $15 - $72 99%
Cigna $15 - $94 99%
Geha $15 99%
Medicare (plans) $15 - $16 99%
UnitedHealthcare $15 99%
Va Ccn $15 99%
Veterans Eval Services $15 99%
Ambetter / Centene $21 139%
Community Care $30 - $94 199%
Healthcare Highways $34 - $81 225%
The Kempton Group $38 252%
Healthscope $62 411%
Oscar Insurance Company $62 411%
Webtpa Chickasaw Nation Hch $63 418%
Webtpa Hobby Lobby Hch $71 471%
Coventry $79 524%
Global Health $85 564%
Sana Benefits $87 577%
Ufcw $87 577%
First Health Network $93 617%
Manhattan Life $93 617%
Phcs $94 623%
Preferred Community Choice $102 676%
Multiplan $121 802%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4050 West Memorial Road, Oklahoma City, OK 73120
  • CMS Rating: ★★★★☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals