CMS Price Transparency Data

Blood test, vitamin B12

Facility: UPMC Hanover

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $24
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at UPMC Hanover is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.59x the Medicare baseline. Located in 300 Highland Ave, Hanover, PA.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $77 (511%)
Insurance Median: $24 (159%)
Cash: $77 (511% of Medicare)
Ins. Median: $24 (159% 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
Amerihealth Caritas $13 86%
Aetna $15 - $16 99%
Blue Cross Blue Shield $15 - $87 99%
Humana $15 99%
Cigna $16 - $39 106%
Geisinger $16 - $92 106%
Pa Health & Wellness $16 - $22 106%
UnitedHealthcare $16 - $29 106%
Upmc Work Partners $16 106%
Highmark Wholecare (Prev Gateway) $17 113%
Upmc Health Plan $17 - $90 113%
Health Partners Plans (Jefferson Health Plan) $18 119%
Keystone Autism Services $24 159%
Keystone Health Plan $24 - $87 159%
Prime Net $31 - $40 206%
Carefirst $109 723%
Multiplan $109 723%
Wellspan Population Health $111 736%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Highland Ave, Hanover, PA 17331
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals