CMS Price Transparency Data

Blood test, vitamin B12

Facility: Methodist Hospital Stone Oak

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $24
  • Cash Discount Price: $816
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Methodist Hospital Stone Oak is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $816. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.59x the Medicare baseline. Located in 1139 E Sonterra Blvd,, San Antonio, TX.
Cash / Self-Pay
$816

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $816 (5411%)
Insurance Median: $24 (159%)
Cash: $816 (5411% of Medicare)
Ins. Median: $24 (159% 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
Amerigroup $13 - $114 86%
Community First Health Plans $13 - $220 86%
United $13 - $367 86%
Usa Managed Care Chip $13 86%
Aetna $14 - $15 93%
Molina Healthcare $14 - $24 93%
Wellmed $14 93%
Blue Cross Blue Shield $15 - $241 99%
Devoted Health $15 99%
Gonzaba Medical Group $15 99%
Ilumed $15 99%
Lighthouse Hospice $15 99%
Triwest $15 99%
Triwest Va Pccc $15 99%
UnitedHealthcare $15 99%
American Health Plan Of Texas $16 106%
Clover Insurance $16 106%
Humana $16 106%
Integranet $16 106%
Superior Health $16 - $41 106%
Texas Independent Health Plan $16 106%
Triwest Health Alliance $16 106%
Value Options $16 106%
Wellcare $16 106%
Focus Healthcare Management $21 139%
Superior $24 159%
Cigna $25 - $33 166%
Focus Health Solutions $35 232%
Healthcare Highways $35 232%
Oscar $40 265%
Imperial Insurance $155 1028%
Valenz $286 1897%
Evry Health $300 1989%
Fidelis Securecare $367 2434%
National Choicecare $408 2706%
Texas Healthcare Foundation Heb $408 2706%
Tx Healthcare Foundation $408 2706%
Healthsmart Preferred Care $449 2977%
Independent Medical Systems $449 2977%
Physician Cooperative Of Texas $449 2977%
Haa Preferred Partners $489 3243%
San Antonio Employers Health Alliance $489 3243%
Coastal Comp Health Networks $530 3515%
National Healthcare Solutions $530 3515%
Tml Intergovernmental Ebp $571 3786%
Multiplan $612 - $693 4058%
Usa Managed Care $612 4058%
Blue Bell $653 4330%
Directcare America $653 4330%
Managed Healthcare $693 4595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1139 E Sonterra Blvd,, San Antonio, TX 78258
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals