CMS Price Transparency Data

Blood test, vitamin B12

Facility: Medical Center of McKinney

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $23
  • Cash Discount Price: $715
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Medical Center of McKinney is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $715. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.53x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$715

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: $715 (4741%)
Insurance Median: $23 (153%)
Cash: $715 (4741% 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
Amerigroup $13 - $15 86%
Cigna $13 - $572 86%
Parkland Community Health Plan $13 86%
United $13 - $134 86%
Aetna $14 - $520 93%
Molina $14 - $16 93%
Blue Cross Blue Shield $15 - $317 99%
Care N Care $15 99%
Devoted Health $15 99%
Humana $15 - $465 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 - $50 106%
Texas Independent Health Plan $16 106%
Wellcare $16 106%
Imperial Insurance Company $17 113%
Universal Healthcare Group $18 119%
Verda Health Plan $20 133%
Bravo Health $23 153%
Superior $27 - $34 179%
Usa Managed Care $29 - $572 192%
Corvel Corporation $30 199%
Oscar $39 259%
Molina Healthcare $40 265%
Healthcare Highways $175 - $242 1160%
Evry Health $184 1220%
Unicare $186 - $715 1233%
City Of Mckinney $250 1658%
Fidelis Securecare $322 2135%
National Choicecare $358 2374%
Pc Texas Partners $393 2606%
Physicians Coop Of Tx $393 2606%
Rockport Health Group $393 2606%
Averde Health, Inc $415 2752%
Magellan Bh $429 2845%
Value Options Behavioral Health $429 2845%
Coastal Comp Health Networks $501 3322%
Mega Life $501 3322%
Multiplan Phcs $501 3322%
Lewisville Isd/Dls Consulting $536 3554%
Compsych Corporation $572 3793%
Healthsmart Preferred Care $572 3793%
Galaxy Health Network $608 4032%
Independent Medical Systems $715 4741%
National Healthcare Solutions $715 4741%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals