CMS Price Transparency Data

Blood test, vitamin B12

Facility: Baylor Scott & White Medical Center - Temple

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $80
  • Cash Discount Price: $112
  • vs. Medicare Baseline: 5.31x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Baylor Scott & White Medical Center - Temple is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 5.31x the Medicare baseline. Located in 2401 S 31St St, Temple, TX.
Cash / Self-Pay
$112

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $112 (743%)
Insurance Median: $80 (531%)
Cash: $112 (743% of Medicare)
Ins. Median: $80 (531% 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 531% of the Medicare baseline (a markup of 431%). 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
UnitedHealthcare $10 - $17 66%
Baylor Scott & White Health Plan $14 - $80 93%
Humana $15 - $131 99%
Superior Health Plan $15 - $28 99%
Triwest $15 99%
American Health Plan $16 106%
Blue Cross Blue Shield $16 - $89 106%
Corvel $16 106%
Prime Health Services $16 106%
Procare Advantage $16 106%
Injury Management Organization $19 126%
Careworks Fka Rockport $23 153%
Sedgwick $23 153%
Texas Workforce Commission $66 438%
Cigna $96 - $113 637%
Aetna $103 683%
Employers Health Network $103 683%
Midcoast $103 683%
Quiktrip $103 683%
University Of Mary Hardin-Baylor $109 723%
Independent Medical System $112 743%
Imagine Health $117 776%
Curative $122 809%
First Health $131 869%
Healthsmart $131 - $141 869%
Bluebell Creameries $141 935%
Private Health Care System $141 935%
Three Rivers $169 1121%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2401 S 31St St, Temple, TX 76508
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals