CMS Price Transparency Data

Blood test, vitamin B12

Facility: Medical Center Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $32
Cash Discount Price: $124
vs. Medicare Baseline: 2.12x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Medical Center Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.12x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$124

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $124 (822%)

Insurance Median: $32 (212%)

Cash: $124 (822% of Medicare)

Ins. Median: $32 (212% 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 212% of the Medicare baseline (a markup of 112%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Geha	$7	46%
UnitedHealthcare	$7 - $21	46%
Corvel Wc	$12	80%
Ambetter / Centene	$13 - $16	86%
Amerigroup	$13	86%
Blue Cross Blue Shield	$13 - $83	86%
Community Health Choice	$13	86%
First Care Health Plan	$13	86%
Medicaid / KanCare	$13	86%
Superior Chips	$13	86%
Superior Health Plan	$13	86%
Aetna	$15 - $127	99%
Care Improvement Plus	$15	99%
Humana	$15	99%
Novitas Solutions	$15	99%
Triwest Va Ccn	$15	99%
Wellcare By Allwell	$16	106%
Group Resources	$18	119%
Workers Comp	$30	199%
Health Select	$41 - $83	272%
90 Degree Benefits	$49 - $93	325%
Cigna	$49	325%
Caprock	$66 - $77	438%
Healthsmart Preferred Care	$72 - $116	477%
State Comptroller	$96	637%
Texas Mutual Wc	$127	842%
Firstcare	$135	895%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $124.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical Center Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.