CMS Price Transparency Data

Blood test, vitamin B12

Facility: Indiana Regional Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $17
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Indiana Regional Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.13x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $45 (298%)
Insurance Median: $17 (113%)
Cash: $45 (298% of Medicare)
Ins. Median: $17 (113% 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 $10 - $47 66%
Highmark Wholecare $10 - $16 66%
Tricare $14 - $128 93%
Aetna $15 - $46 99%
Cigna $15 - $48 99%
Humana $15 99%
Medicare (plans) $15 99%
United Mine Workers Of America $15 99%
UnitedHealthcare $15 - $51 99%
Ambetter / Centene $16 - $18 106%
Amerihealth Caritas $16 - $17 106%
Geisinger Health Plan $16 - $17 106%
Upmc Health Plan $16 - $98 106%
Geisinger $21 - $42 139%
Pa Health And Wellness Commercial $21 - $42 139%
Department Of Human Services And Torrance State Hospital $76 - $81 504%
Premier Comp Solutions, Llc $109 - $115 723%
Miscellaneous Commercial $121 - $128 802%
Pa Workers Compensation $121 - $128 802%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals