CMS Price Transparency Data

Blood test, vitamin B12

Facility: Magee Memorial Hospital for Convalescents

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $17
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Magee Memorial Hospital for Convalescents is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.13x the Medicare baseline. Located in 1513 Race Street, Philadelphia, PA.
Cash / Self-Pay
$17

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: $17 (113%)
Insurance Median: $17 (113%)
Cash: $17 (113% 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
Jefferson Health Plan Aca Qhp Exchange $14 93%
Humana $15 99%
Innovage $15 99%
Inspira Life $15 99%
Magee Health Partners $15 99%
Medicare (plans) $15 - $17 99%
St Agnes $15 99%
UnitedHealthcare $15 99%
Cigna $16 106%
Devoted Health Participation $16 106%
Magee Keystone Vip $16 106%
Magee Provider Partners Health Plan $16 106%
Aetna $17 - $20 113%
Geisinger Health Plan $17 - $61 113%
Magee Pa Health_Wellness $17 113%
Perennial $17 113%
Highmark Wholecare Gateway $18 119%
Ibc Employee Benefit $19 126%
Ibc Main Line Health $19 126%
Ambetter / Centene $22 146%
Magee United $23 153%
Medicaid / KanCare $23 153%
Magee Keystone First $24 159%
Magee Naphcare $24 159%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1513 Race Street, Philadelphia, PA 19102
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL