CMS Price Transparency Data

Blood test, vitamin B12

Facility: St David's South Austin Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $30
  • Cash Discount Price: $288
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at St David's South Austin Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $288. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.99x the Medicare baseline. Located in 901 West Ben White Blvd, Austin, TX.
Cash / Self-Pay
$288

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: $288 (1910%)
Insurance Median: $30 (199%)
Cash: $288 (1910% 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
Blue Cross Blue Shield $13 - $92 86%
St David’S Hospice $13 - $15 86%
United $13 - $130 86%
Molina Healthcare $14 - $16 93%
Superior Health Plan $14 - $49 93%
Aetna $15 - $16 99%
Cigna $15 - $84 99%
Devoted Health $15 99%
Harbor Hospice $15 99%
Humana $15 - $16 99%
Odyssey Hospice $15 99%
Triwest Veterans $15 99%
Wellmed $15 99%
American Health Plan Of Texas $16 106%
Provider Partners Health Plan $16 106%
Pyramid Life $16 106%
Sendero $16 - $26 106%
Shared Health $16 106%
Texas Independent Health Plan $16 106%
Triwest Health Alliance $16 106%
Wellcare $16 106%
Imperial Insurance $17 113%
Universal Health $18 119%
Austin Fc $19 126%
Amerigroup $21 139%
Naphcare $23 153%
Seven Corners $23 153%
Corvel Corporation $30 199%
UnitedHealthcare $38 - $288 252%
Oscar $41 - $46 272%
Moda $68 451%
Covenant Management Systems $83 550%
Healthcare Highways $84 - $86 557%
Imo Med - Select Network $86 570%
Nomi Health $92 - $107 610%
Moda Health $104 - $107 690%
Evry Health $106 703%
Texas Healthcare Foundation Heb $107 710%
Texas Workforce Commission $112 743%
Harbor Health Team $115 763%
Averde Health $130 862%
Comanche County $144 955%
Emerging Therapy Solutions $144 - $199 955%
National Choicecare $144 955%
Healthsmart Preferred Care $158 - $230 1048%
Independent Medical Systems $158 1048%
Physicians Cooperative Of Texas $158 1048%
Prime Health $173 1147%
First Health $181 - $207 1200%
Coastal Comp Health Networks $187 1240%
National Health Care $187 1240%
Occunet $202 1340%
Texas Municipal League $202 1340%
Medcorp Southwest $216 1432%
Preferred Health Arrangement $216 1432%
Rockport Healthcare Group $230 - $259 1525%
Bce Emergis Corporation $259 1718%
Beech Street $259 1718%
Medical Control Network Solutions $259 1718%
Multiplan $259 1718%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 West Ben White Blvd, Austin, TX 78704
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals