CMS Price Transparency Data

Blood test, vitamin B12

Facility: Medical City Lewisville

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $23
  • Cash Discount Price: $529
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Medical City Lewisville is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $529. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.53x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$529

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: $529 (3508%)
Insurance Median: $23 (153%)
Cash: $529 (3508% 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
Cook Childrens Health Plan $9 60%
Texas Health Network $12 80%
Amerigroup $13 - $15 86%
Cigna $13 - $82 86%
Parkland Community Health Plan $13 86%
United $13 - $105 86%
Aetna $14 - $384 93%
Molina $14 - $16 93%
Blue Cross Blue Shield $15 - $235 99%
Care N Care $15 99%
Devoted Health $15 99%
Humana $15 - $167 99%
Mutual Of Omaha $15 99%
Triwest Health Alliance $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 - $37 106%
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 - $423 192%
Corvel Corporation $30 199%
Oscar $39 259%
Molina Healthcare $40 265%
Unicare $127 - $529 842%
Healthcare Highways $130 - $179 862%
Evry Health $136 902%
City Of Mckinney $238 1578%
Fidelis Securecare $238 1578%
National Choicecare $264 1751%
Pc Texas Partners $291 1930%
Physicians Coop Of Tx $291 1930%
Rockport Health Group $291 1930%
Averde Health, Inc $307 2036%
Usc Health Services $317 2102%
Coastal Comp Health Networks $370 2454%
Jostens $370 2454%
Mega Life $370 2454%
Multiplan Phcs $370 2454%
Healthsmart Preferred Care $396 2626%
Lewisville Isd/Dls Consulting $396 2626%
Galaxy Health Network $449 2977%
Independent Medical Systems $529 3508%
National Healthcare Solutions $529 3508%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals