CMS Price Transparency Data

Blood test, vitamin B12

Facility: Canonsburg General Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Canonsburg General Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 100 Medical Boulevard, Canonsburg, PA.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $95 (630%)
Insurance Median: $15 (99%)
Cash: $95 (630% of Medicare)
Ins. Median: $15 (99% 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
Highmark $7 - $24 46%
Cigna $12 - $16 80%
Aetna $13 - $39 86%
Amerihealth $13 - $16 86%
Jefferson Health Plans $13 86%
Univera $13 - $18 86%
American Health Plans $15 99%
Life Pittsburgh $15 99%
Martin'S Point $15 - $41 99%
UnitedHealthcare $15 - $21 99%
Highmark Wholecare $16 - $18 106%
Humana $16 106%
Medical Mutual $16 106%
Medicare (plans) $16 106%
Molina $16 106%
Pennsylvania Health And Wellness $20 133%
Geisinger $21 139%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Medical Boulevard, Canonsburg, PA 15317
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals