CMS Price Transparency Data

Blood test, vitamin B12

Facility: Rio Grande Regional Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $21
  • Cash Discount Price: $1,092
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Rio Grande Regional Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,092. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.39x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$1,092

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $1,092 (7241%)
Insurance Median: $21 (139%)
Cash: $1,092 (7241% of Medicare)
Ins. Median: $21 (139% 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 Children'S Health Plan $13 86%
Texas Health Network $13 86%
United $13 - $491 86%
Aetna $14 - $15 93%
Molina Healthcare $14 - $37 93%
Allegian Health $15 - $437 99%
Blue Cross Blue Shield $15 - $491 99%
Cigna $15 - $55 99%
Humana $15 - $52 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 - $76 106%
Triwest Health Alliance $16 106%
Universal Health Care $18 119%
Superior $23 153%
Corvel Corporation $30 199%
Focus Healthcare $30 199%
Omni Healthcare $32 212%
Oscar $35 232%
Healthcare Highways $45 298%
Texas Workforce Commission $262 1737%
Averde Health $360 2387%
Healthsmart Preferred Care $470 - $928 3117%
First Health $628 4164%
National Healthcare Solutions $655 4344%
Southwest Medical $655 4344%
Coastal Comp $710 4708%
Usa Managed Care $710 - $874 4708%
Ppo Next/ Medical Control $819 5431%
Beech Street $874 5796%
Multiplan $874 5796%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals