CMS Price Transparency Data

Blood test, vitamin B12

Facility: Carrollton Regional Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $271
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Carrollton Regional Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 4343 North Josey Lane, Carrollton, TX.
Cash / Self-Pay
$271

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $271 (1797%)
Insurance Median: $15 (99%)
Cash: $271 (1797% of Medicare)
Ins. Median: $15 (99% 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
UnitedHealthcare $12 - $15 80%
Amerigroup $13 - $15 86%
Blue Cross Blue Shield $13 - $63 86%
Cigna $13 86%
Medicaid / KanCare $13 86%
Molina $13 - $16 86%
Superior $13 - $23 86%
Superior_Chip $13 86%
Uhc_Chip $13 86%
Uhc_Star $13 86%
Uhc_Star_Plus $13 86%
Humana $14 - $15 93%
Aetna $15 - $23 99%
Medicare (plans) $15 99%
Scott_And_White $15 99%
Molina_Star_Plus $16 106%
Molina_Health_Insurance_Marketplace $20 133%
Scott_And_White_Epo $26 172%
Scott_And_White_Hmo $26 172%
Scott_And_White_Ppo $26 172%
Scott_And_White_Swhp $26 172%
Phcs $144 - $532 955%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4343 North Josey Lane, Carrollton, TX 75010
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals