CMS Price Transparency Data

Blood test, vitamin B12

Facility: Valley Regional Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $30
  • Cash Discount Price: $1,207
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Valley Regional Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,207. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.99x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.
Cash / Self-Pay
$1,207

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $1,207 (8004%)
Insurance Median: $30 (199%)
Cash: $1,207 (8004% of Medicare)
Ins. Median: $30 (199% 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
Driscoll Childrens Health Plan $13 86%
Texas Health Network $13 86%
United $13 - $543 86%
Usa Mco $13 86%
Aetna $14 - $160 93%
Molina Healthcare $14 - $31 93%
Blue Cross Blue Shield $15 - $543 99%
Cigna $15 - $55 99%
Humana $15 - $193 99%
Independent Medical System $15 99%
Triwest Healthcare Alliance $15 99%
Wellmed $15 99%
American Health Plan $16 106%
Molina $16 106%
Physicians Health Choice $16 106%
Prominence Health $16 106%
Provider Partners Health Plan Of Texas $16 106%
Shared Health $16 106%
Superior Health Plan $16 - $84 106%
Superior $23 153%
Corvel Corporation $30 199%
Omni Healthcare $32 212%
Oscar $35 232%
Healthcare Highways $45 298%
Texas Workforce Commission $290 1923%
Averde Health $398 2639%
Healthsmart Preferred Care $519 - $1,026 3442%
First Health $694 4602%
National Healthcare Solutions $724 4801%
Southwest Medical $724 4801%
Coastal Comp $784 5199%
Total E&P Mexico $784 5199%
Affiliated Healthcare $821 5444%
Mcm Maxcare $966 6406%
Pronet Ppo $966 6406%
Usa Managed Care $966 6406%
Beech Street $1,086 7202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 A Alton Gloor, Brownsville, TX 78526
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals