CMS Price Transparency Data

Blood test, vitamin B12

Facility: Excela Health Latrobe Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $17
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Excela Health Latrobe Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.13x the Medicare baseline. Located in One Mellon Way, Latrobe, PA.
Cash / Self-Pay
$33

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: $33 (219%)
Insurance Median: $17 (113%)
Cash: $33 (219% 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 Advantage Community Blue $14 93%
Upmc For Kids Chip $14 93%
Va $15 99%
Aetna $16 - $35 106%
Amerihealth Caritas $16 - $17 106%
Cigna $16 - $23 106%
Devoted $16 106%
Geisinger $16 106%
Health Partners Plan $16 106%
Health Partners Plans $16 106%
Highmark Wholecare $16 106%
Humana $16 106%
Martin'S Point $16 106%
Pa Health And Wellness $16 - $17 106%
Peak Health $16 - $35 106%
The Health Plan Of West Virginia $16 - $35 106%
United $16 106%
Upmc $16 - $17 106%
American Health Plan Of Pa $17 113%
Provider Network Of America $17 - $44 113%
Provider Plan Partners Plan $17 113%
Upmc Health Plan $17 - $60 113%
Highmark Children'S Health Insurance Program $18 119%
UnitedHealthcare $18 119%
Ambetter / Centene $19 126%
Highmark $20 - $33 133%
Velocity $23 153%
Community Blue $30 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Mellon Way, Latrobe, PA 15650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals