CMS Price Transparency Data

Blood test, vitamin B12

Facility: St Luke's Patients Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $28
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at St Luke's Patients Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.86x the Medicare baseline. Located in 4600 East Sam Houston Parkway South, Pasadena, TX.
Cash / Self-Pay
$71

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $71 (471%)
Insurance Median: $28 (186%)
Cash: $71 (471% of Medicare)
Ins. Median: $28 (186% 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
Chc $12 80%
Tchp $12 80%
United $13 - $40 86%
Wellpoint $13 - $23 86%
Aetna $15 - $138 99%
Blue Cross Blue Shield $15 - $77 99%
Cigna $15 - $142 99%
Humana $15 99%
Kelsey $15 99%
Amerivantage $16 106%
Devoted $16 106%
Scanhealth $16 106%
Ambetter / Centene $23 153%
Community Health Choice $23 153%
Bright Health $25 166%
Coventry $132 875%
First Health $132 875%
Healthsmart $142 942%
Multiplan $152 1008%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4600 East Sam Houston Parkway South, Pasadena, TX 77505
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals