CMS Price Transparency Data

Blood test, vitamin B12

Facility: Round Rock Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Round Rock Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $16 (106%)
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
Blue Cross Blue Shield $13 - $74 86%
St David’S Hospice $13 - $15 86%
United $13 - $15 86%
Molina Healthcare $14 - $16 93%
Aetna $15 - $16 99%
Cigna $15 - $42 99%
Devoted Health $15 99%
Humana $15 - $16 99%
Odyssey Hospice $15 99%
Triwest Healthcare Alliance $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%
Superior Health Plan $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%
Corvel Corporation $30 199%
Oscar $41 - $46 272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals