CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Houston Healthcare Southeast

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $22
  • Cash Discount Price: $1,329
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Houston Healthcare Southeast is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,329. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.46x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$1,329

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $1,329 (8813%)
Insurance Median: $22 (146%)
Cash: $1,329 (8813% of Medicare)
Ins. Median: $22 (146% 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
Texas Health Network $12 80%
Amerigroup $13 - $15 86%
Community Health Choice Mcd $13 86%
Texas Childrens Health Plans $13 - $234 86%
United $13 - $598 86%
Aetna $14 - $99 93%
Molina Healthcare $14 - $32 93%
Blue Cross Blue Shield $15 - $465 99%
Chc Harris Health $15 99%
Cigna $15 - $1,063 99%
Devoted Health $15 99%
Humana $15 - $201 99%
Kelsey Seybold $15 99%
Oscar $15 - $44 99%
Renaissance Ipa Radiology $15 99%
Triwest Healthcare Alliance $15 99%
Van Lang Ipa $15 99%
Wellmed $15 99%
American Health Plan $16 106%
Christus (Usfhp) $16 106%
Integranet Amerigroup Ipa $16 106%
Molina $16 106%
Procare Advantage $16 106%
Provider Partners Health Plan Of Texas $16 106%
Shared Health $16 106%
Superior Health Plan $16 - $80 106%
Wellcare $16 106%
Kindred Hospital $17 113%
Universal Healthcare Group $18 119%
Verda Health Plan $20 133%
Community Health Choice $22 146%
Superior $22 - $23 146%
Corvel Corporation $30 199%
Omni Healthcare $32 212%
Healthcare Highways $45 298%
Texas Workforce Commission $319 2115%
Evry Health $363 2407%
Imagine Health $465 3084%
Healthsmart Preferred Care $571 - $1,130 3786%
Averde Health $598 3966%
Fidelis Securecare Of Tx $598 3966%
Multiplan $665 - $1,196 4410%
Coventry National First Health $708 4695%
Physicians Cooperative Of Texas $731 4847%
Rockport Workers Comp $731 4847%
Beech Street $797 - $1,063 5285%
Independent Medical System $797 5285%
National Healthcare Solutions $797 5285%
Prime Health Services $797 5285%
Southwest Medical $797 5285%
Coastal Comp $864 5729%
Fiesta Mart, Inc $997 6611%
Physicians, Inc $1,130 7493%
Affiliated Ppo $1,196 7931%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals