CMS Price Transparency Data

Blood test, vitamin B12

Facility: Medical City North Hills

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $23
  • Cash Discount Price: $469
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Medical City North Hills is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $469. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.53x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$469

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $469 (3110%)
Insurance Median: $23 (153%)
Cash: $469 (3110% of Medicare)
Ins. Median: $23 (153% 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
Cook Childrens Health Plan $9 60%
Amerigroup $13 - $15 86%
Cigna $13 - $375 86%
Parkland Community Health Plan $13 86%
United $13 - $101 86%
Aetna $14 - $341 93%
Molina $14 - $16 93%
Blue Cross Blue Shield $15 - $208 99%
Care N Care $15 99%
Devoted Health $15 99%
Humana $15 - $167 99%
Mutual Of Omaha $15 99%
Triwest Veterans $15 99%
Wellmed $15 99%
American Health Plan Of Texas, Inc. $16 106%
Cenpatico $16 106%
Integranet $16 106%
Procare Advantge $16 106%
Provider Partners Health Plan $16 106%
Superior Health Plan $16 - $33 106%
Texas Independent Health Plan $16 106%
Wellcare $16 106%
Imperial Insurance Company $17 113%
Triwest Health Alliance $17 113%
Universal Healthcare Group $18 119%
Verda Health Plan $20 133%
Bravo Health $23 153%
Superior $27 - $34 179%
Usa Managed Care $29 - $375 192%
Corvel Corporation $30 199%
Oscar $39 259%
Molina Healthcare $40 265%
Unicare $98 - $469 650%
Healthcare Highways $115 - $158 763%
Evry Health $121 802%
City Of Mckinney $211 1399%
Fidelis Securecare $211 1399%
National Choicecare $234 1552%
Pc Texas Partners $258 1711%
Physicians Coop Of Tx $258 1711%
Rockport Health Group $258 1711%
Averde Health, Inc $272 1804%
Magellan Behavior Health $281 1863%
Coastal Comp Health Networks $328 2175%
Mega Life $328 2175%
Multiplan Phcs $328 2175%
Healthsmart Preferred Care $352 2334%
Lewisville Isd/Dls Consulting $352 2334%
Usc Health Services $375 2487%
Galaxy Health Network $399 2646%
Independent Medical Systems $469 3110%
National Healthcare Solutions $469 3110%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals