CMS Price Transparency Data

Blood test, vitamin B12

Facility: The Medical Center of Southeast Texas

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $20
  • Cash Discount Price: $542
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at The Medical Center of Southeast Texas is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $542. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.33x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$542

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $542 (3594%)
Insurance Median: $20 (133%)
Cash: $542 (3594% of Medicare)
Ins. Median: $20 (133% 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
UnitedHealthcare $9 - $19 60%
Community Health Choice $13 - $18 86%
Community Health Choice Uhrip $13 86%
Harbor Hospice $13 86%
Medicaid / KanCare $13 - $15 86%
Medsolutions $13 86%
Molina Healthcare $13 - $20 86%
Superior Healthplan $13 - $15 86%
Texas Childrens Health Plan $13 86%
Humana $14 - $38 93%
Amerigroup $15 - $43 99%
Beacon Health $15 99%
Blue Cross Blue Shield $15 - $224 99%
Caresact $15 99%
Employer Direct Healthcare $15 - $19 99%
Healthspring $15 99%
Hospice $15 99%
Medicare (plans) $15 99%
Provider Partners Health Plan $15 99%
Rice Land Hospice $15 99%
Selectcare $15 99%
Texas Medical Management Partners $15 - $19 99%
Tihp (Texas Independence Health Plan) $15 99%
Triwest $15 99%
Cccn Pro Advantage $16 106%
Cigna $16 - $379 106%
League Medical Concepts $16 106%
Tricare $16 106%
Wellcare Of Texas $16 106%
Wellpath $17 113%
Corporate Remedies $22 146%
Elap Services $29 192%
Texas Workers Compensation $30 199%
Self Pay Emergent $81 537%
Dept Of Assistive And Rehabilitative Services $271 1797%
Aetna $314 - $358 2082%
Iasis Employees $325 2155%
Magellan Behavioral Health $325 2155%
First Health $379 2513%
Galaxy Health Network $379 2513%
Private Healthcare Systems $379 2513%
Texas Municipal League $379 2513%
Healthsmart $406 2692%
Multiplan $433 2871%
Commercial Non-Contracted $542 3594%
Heart To Heart Hospice $542 3594%
Lifesynch $542 3594%
Mhnet $542 3594%
Self Pay - Mcd Pending 100 Percent $542 3594%
Single Case Agreement $542 3594%
United Behavioral Health $542 3594%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals