CMS Price Transparency Data

Blood test, vitamin B12

Facility: Ascension Seton Northwest

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $61
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Ascension Seton Northwest is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 11113 Research Boulevard, Austin, TX.
Cash / Self-Pay
$61

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: $61 (405%)
Insurance Median: $15 (99%)
Cash: $61 (405% 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
Ambetter / Centene $13 - $27 86%
Blue Cross Blue Shield $13 - $71 86%
Dell Chip/Chip Perinate $13 - $16 86%
Dell Star $13 - $16 86%
UnitedHealthcare $13 - $16 86%
Wellpoint Chip/Chip Perinate $13 - $16 86%
Wellpoint Star $13 - $16 86%
Wellpoint Star Kids $13 86%
Wellpoint Star Plus $13 - $16 86%
Aarp Mc Wellmed $15 99%
Addr Cancer Together $15 99%
Aetna $15 - $112 99%
Covid Hrsa $15 99%
Cshcn Cidc $15 99%
Devoted Health Mcr Replacement $15 99%
Humana $15 - $25 99%
Medicare (plans) $15 99%
Research Study $15 99%
Sendero Chap $15 99%
Smarthealth $15 99%
Superior Allwell $15 99%
Tricare $15 99%
Wellcare Med Advantage $15 99%
Connected Senior Care $16 106%
Pphp Mcr Advantage $16 106%
Tx Independence Hp $16 106%
Champva $18 - $20 119%
Occunet $21 139%
Sendero Idealcare $26 172%
Cigna $35 232%
Seton Performance Plus $37 245%
Superior Star $68 451%
Superior Star Foster $68 451%
Superior Star Kids $68 451%
Superior Star Plus $68 451%
Superior Chip/Chip Perinate $76 504%
Covenant Health $82 544%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11113 Research Boulevard, Austin, TX 78759
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals