CMS Price Transparency Data

Blood test, vitamin B12

Facility: Hillsboro Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Hillsboro Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 335 Se 8Th Avenue, Hillsboro, OR.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $114 (756%)
Insurance Median: $16 (106%)
Cash: $114 (756% of Medicare)
Ins. Median: $16 (106% 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.

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
Care Oregon $12 - $18 80%
Intercommunity Health Network $12 80%
Kaiser Foundation Hospitals $12 - $44 80%
Medicare (plans) $12 - $18 80%
Pacific Source $12 - $32 80%
Community Health Plan Of Washington $15 - $175 99%
Providence Health Plan $15 - $23 99%
Samaritan Health Plan $15 99%
Trillium $15 99%
Aetna $16 - $42 106%
Humana $16 106%
UnitedHealthcare $16 - $24 106%
Health Net Health Plan Of Oregon, Inc. $17 - $116 113%
Moda $17 - $54 113%
Cigna $40 265%
Blue Cross Blue Shield $49 325%
Tuality Health $114 756%
First Choice $140 928%
Coventry First Health $149 988%
Molina Exchange $175 1160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 335 Se 8Th Avenue, Hillsboro, OR 97123
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals