CMS Price Transparency Data

Blood test, vitamin B12

Facility: Mid-Columbia Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $89
Cash Discount Price: $82
vs. Medicare Baseline: 5.90x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Mid-Columbia Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 5.90x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$82

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $82 (544%)

Insurance Median: $89 (590%)

Cash: $82 (544% of Medicare)

Ins. Median: $89 (590% 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 590% of the Medicare baseline (a markup of 490%). 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
Blue Cross Blue Shield	$15 - $544	99%
Community Hp Mcr Adv - All Plans	$15	99%
Healthnet Mcr Adv	$15	99%
Moda Mcr Adv	$15	99%
Molina Mcr Adv	$15	99%
Tricare	$15	99%
Va Ccn Triwest - All Plans	$15	99%
Humana	$16	106%
Molina - All Other Plans	$17	113%
Pacific Source - All Plans	$26	172%
Employee Health Plan - All Plans	$27	179%
Norocor - All Plans	$85	564%
Amerigroup Mcaid - All Plans	$89	590%
Coordinated Care Mcaid - All Plans	$89	590%
Molina Mcaid	$89	590%
UnitedHealthcare	$89 - $162	590%
Moda Health Plan - All Other Plans	$113	749%
Healthscape - All Plans	$137	908%
First Health - All Plans	$152	1008%
Coventry - All Plans	$154	1021%
Aetna	$158	1048%
Cigna	$161	1068%
First Choice - All Plans	$162	1074%
Multiplan/Phcs - All Plans	$162	1074%
Providence Ppo - All Plans	$162	1074%
Trpn - Three Rivers - All Plans	$162	1074%
Ahp - Americas Hlth Plan - All Plans	$166	1101%
Devoted Mcr Adv - All Plans	$184	1220%

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 $82.
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 Mid-Columbia Medical 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.