CMS Price Transparency Data

Blood test, vitamin B12

Facility: Womans Hospital of Texas,The

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $712
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Womans Hospital of Texas,The is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $712. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$712

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $712 (4721%)
Insurance Median: $16 (106%)
Cash: $712 (4721% of Medicare)
Ins. Median: $16 (106% 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 - $186 86%
United $13 - $320 86%
Aetna $14 - $80 93%
Molina Healthcare $14 - $33 93%
Blue Cross Blue Shield $15 - $249 99%
Cigna $15 - $81 99%
Devoted Health $15 99%
Humana $15 - $201 99%
Oscar $15 - $44 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%
Kelsey Seybold $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 - $43 106%
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%
Evry Health $194 1286%
Imagine Health $249 1651%
Kelsey Care (Boon-Chapman) $249 1651%
Healthsmart Preferred Care $306 - $605 2029%
Averde Health $320 2122%
Fidelis Securecare Of Tx $320 2122%
Coventry National First Health $379 2513%
Physicians Cooperative Of Texas $391 2593%
Rockport Workers Comp $391 2593%
Independent Medical System $427 2832%
National Healthcare Solutions $427 2832%
Southwest Medical $427 2832%
Coastal Comp $463 3070%
Affiliated Ppo $534 3541%
Fiesta Mart, Inc $534 3541%
Multiplan $534 - $605 3541%
Physicians, Inc $605 4012%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals