CMS Price Transparency Data

Blood test, vitamin B12

Facility: Knapp Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Knapp Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $15 (99%)
Insurance Median: $16 (106%)
Cash: $15 (99% of Medicare)
Ins. Median: $16 (106% 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
Corvel $11 73%
Zelis Healthcare Fka Stratose $11 73%
Provider Network Of America $12 80%
Molina $13 - $27 86%
Provider Select $13 86%
Superior Health Plan $13 - $26 86%
UnitedHealthcare $13 - $26 86%
Three Rivers $14 93%
Americas Choice Provider Network (Acpn) $15 99%
Blue Cross Blue Shield $15 - $54 99%
Cigna $15 - $25 99%
Coventry (First Health) $15 99%
Division Of Immigration Health $15 99%
Medicare (plans) $15 99%
Prime Health Services $15 99%
Texas Bluebonnet Health Plan $15 - $25 99%
Tricare $15 99%
Veterans Evaluation Services $15 99%
Wellmed Aarp Ma Fka Physicians Health Choice $15 99%
Worker Comp $15 99%
Imperial Insurance Companies $16 106%
Multiplan $16 106%
Provider Partners Health Plan $16 106%
Texas Oncology Pa Op $19 126%
Frontier Health (Fka Asserta Health) $20 133%
Magic Valley Electric Cooperative $20 133%
Employer Direct Healthcare $21 139%
Corporate Remedies (Wc) $23 153%
Naphcare $23 153%
Medicaid / KanCare $24 - $25 159%
Occunet $26 172%
Baker Benefits Administrators $30 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals