CMS Price Transparency Data

Blood test, vitamin B12

Facility: Hospital San Francisco

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $20
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Hospital San Francisco is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.33x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $66 (438%)
Insurance Median: $20 (133%)
Cash: $66 (438% of Medicare)
Ins. Median: $20 (133% 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
First Medical $14 - $20 93%
Mso $14 - $19 93%
Plan De Salud Menonita $14 93%
Triple S $16 - $21 106%
Ch $19 126%
Humana $19 - $23 126%
Mcs $19 - $32 126%
Medicare (plans) $19 126%
Mpc - Us $19 126%
Tricare $19 126%
UnitedHealthcare $19 126%
Us $19 126%
Comerciales $20 133%
Western Medical Hospice $20 133%
Bl $21 139%
Corvel Network $21 139%
Mpc-Pr Other Insurances $21 139%
Aarp $22 146%
Pr Other Insurances $22 146%
Acaa $23 153%
Cigna $23 153%
Medicaid / KanCare $23 153%
Prossam $23 153%
Va $23 153%
Mc $40 265%
Mapfre $45 298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals