CMS Price Transparency Data

Blood test, vitamin B12

Facility: Physicians Care Surgical Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $108
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 7.16x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Physicians Care Surgical Hospital is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 7.16x the Medicare baseline. Located in 454 Enterprise Drive, Royersford, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

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%)
Insurance Median: $108 (716%)
Ins. Median: $108 (716% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 716% of the Medicare baseline (a markup of 616%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $108 716%
Ag Administrators $108 716%
Ag Administrators Inc $108 716%
Allied Benefit Systems $108 716%
Allied Benefits Systems $108 716%
Continental Benefits $108 716%
Coventry $108 716%
Geha $108 716%
Healthez $108 716%
Lucent Health $108 716%
Marpai Health $108 716%
Meritain Health $108 716%
Premier Care Network $108 716%
Trustmark $108 716%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 Enterprise Drive, Royersford, PA 19468
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals