CMS Price Transparency Data

Blood test, vitamin B12

Facility: HCA Houston Healthcare West

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $18
  • Cash Discount Price: $779
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at HCA Houston Healthcare West is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $779. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.19x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$779

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $779 (5166%)
Insurance Median: $18 (119%)
Cash: $779 (5166% of Medicare)
Ins. Median: $18 (119% 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 - $129 86%
United $13 - $351 86%
Aetna $14 - $99 93%
Molina Healthcare $14 - $32 93%
Blue Cross Blue Shield $15 - $273 99%
Chc Harris Health $15 99%
Cigna $15 - $623 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 - $47 106%
Triwest Health Alliance $16 106%
Wellcare $16 106%
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 $187 1240%
Evry Health $213 1412%
Imagine Health $273 1810%
Healthsmart Preferred Care $335 - $662 2221%
Averde Health $351 2328%
Fidelis Securecare Of Tx $351 2328%
Coventry National First Health $415 2752%
Physicians Cooperative Of Texas $428 2838%
Rockport Workers Comp $428 2838%
Independent Medical System $467 3097%
National Healthcare Solutions $467 3097%
Southwest Medical $467 3097%
Triumph $467 3097%
Coastal Comp $506 3355%
Multiplan $584 - $662 3873%
Physicians, Inc $662 4390%
Affiliated Ppo $701 4649%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals