CMS Price Transparency Data

Blood test, vitamin B12

Facility: Hospital Metropolitano Dr Susoni

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $21
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Hospital Metropolitano Dr Susoni is $21. 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 1.39x the Medicare baseline. Located in Calle Palma Num 55, Arecibo, PR.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $21 (139%)
Cash: $66 (438% of Medicare)
Ins. Median: $21 (139% 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
Acaa $19 126%
Triple S $19 - $21 126%
Aarp $20 133%
First Medical $20 133%
Hospicio $20 133%
Plan De Salud Menonita $20 133%
Aetna $21 139%
Bl $21 139%
Mcs $21 - $40 139%
Prossam $21 139%
Tricare $21 139%
Ch $22 146%
Comerciales $22 146%
Humana $22 - $23 146%
Medicare (plans) $22 146%
Mso $22 146%
Va $22 146%
Mc $40 265%
Mapfre $45 298%
Cigna $46 305%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Calle Palma Num 55, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals