CMS Price Transparency Data

Blood test, vitamin B12

Facility: Medical City Plano

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $23
  • Cash Discount Price: $1,155
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Medical City Plano is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,155. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.53x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$1,155

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: $1,155 (7659%)
Insurance Median: $23 (153%)
Cash: $1,155 (7659% 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 - $162 86%
United $13 - $201 86%
Aetna $14 - $699 93%
Molina $14 - $16 93%
Parkland Community Health Plan $14 93%
Blue Cross Blue Shield $15 - $513 99%
Care N Care $15 99%
Devoted Health $15 99%
Humana $15 - $167 99%
Mutual Of Omaha $15 99%
Triwest Veterans $15 99%
Wellmed $15 99%
American Health Plan Of Texas, Inc. $16 106%
Integranet $16 106%
Procare Advantge $16 106%
Provider Partners Health Plan $16 106%
Superior Health Plan $16 - $81 106%
Texas Independent Health Plan $16 106%
Triwest Health Alliance $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 - $924 192%
Corvel Corporation $30 199%
Oscar $39 259%
Molina Healthcare $40 265%
Healthcare Highways $283 - $390 1877%
Evry Health $298 1976%
Lifecare Hospitals $346 2294%
Prominence Health Plan $462 3064%
City Of Mckinney $520 3448%
Fidelis Securecare $520 3448%
National Choicecare $577 3826%
Pc Texas Partners $635 4211%
Physicians Coop Of Tx $635 4211%
Rockport Health Group $635 4211%
Averde Health, Inc $670 4443%
Texas Healthcare Foundation Wc $751 4980%
Coastal Comp Health Networks $808 5358%
Mega Life $808 5358%
Multiplan Phcs $808 5358%
Healthsmart Preferred Care $866 5743%
Lewisville Isd/Dls Consulting $866 5743%
Usc Health Services $924 6127%
Galaxy Health Network $981 6505%
Independent Medical Systems $1,155 7659%
National Healthcare Solutions $1,155 7659%
Unicare $1,155 7659%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals