CMS Price Transparency Data

Blood test, vitamin B12

Facility: Dell Children's Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $37
Cash Discount Price: $159
vs. Medicare Baseline: 2.45x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Dell Children's Medical Center is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.45x the Medicare baseline. Located in 4900 Mueller Blvd, Austin, TX.

Cash / Self-Pay

$159

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $159 (1054%)

Insurance Median: $37 (245%)

Cash: $159 (1054% of Medicare)

Ins. Median: $37 (245% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 245% of the Medicare baseline (a markup of 145%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $17	86%
Blue Cross Blue Shield	$13 - $71	86%
Dell Chip/Chip Perinate	$13 - $16	86%
Dell Star	$13	86%
UnitedHealthcare	$13	86%
Wellpoint Chip/Chip Perinate	$13 - $16	86%
Wellpoint Star	$13 - $16	86%
Wellpoint Star Kids	$13	86%
Wellpoint Star Plus	$13 - $16	86%
Champva	$18 - $20	119%
Humana	$25	166%
Cigna	$35	232%
Seton Performance Plus	$37	245%
Aetna	$40 - $112	265%
Superior Star	$57 - $125	378%
Superior Star Foster	$57 - $125	378%
Superior Star Kids	$57 - $125	378%
Superior Star Plus	$57 - $125	378%
Superior Chip/Chip Perinate	$64 - $141	424%
Covenant Health	$82	544%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $159.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Dell Children's Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.