CMS Price Transparency Data

Blood test, vitamin B12

Facility: Methodist McKinney Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $16
Cash Discount Price: $15
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Methodist McKinney Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 8000 W Eldorado Pkwy Bldg C Suite C, McKinney, TX.

Cash / Self-Pay

$15

Average discount available for prompt cash payment at this facility.

Insurance Median

$16

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: $15 (99%)

Insurance Median: $16 (106%)

Cash: $15 (99% of Medicare)

Ins. Median: $16 (106% 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.

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
Blue Cross Blue Shield	$10 - $16	66%
Aetna	$15 - $55	99%
Medicare (plans)	$15 - $16	99%
UnitedHealthcare	$15 - $16	99%
Ust Health Proof [1005]	$15	99%
Wellcare [7016]	$15	99%
American Health Advantage Of Texas [7099]	$16	106%
Cigna	$16	106%
Globalhealth [1003]	$16	106%
Humana	$16	106%
Procare Advantage [7018]	$16	106%
Provider Partners Health Plan [7025]	$16	106%
Southwestern Health Resources Swhr [7015]	$16	106%
Alternative Service Concepts [8005]	$19	126%
Oscar Insurance Company [2057]	$20	133%
Bright Healthcare [2222]	$21	139%
Molina [3017]	$22	146%
Wellpoint Marketplace Exchange [3071]	$23	153%
90 Degree Benefit [3057]	$25	166%
Allied National [2031]	$25	166%
Entrust/90 Degree [2058]	$25	166%
Ambetter / Centene	$26	172%
Friday Health Plan [2061]	$26	172%
Imperial Insurance Companies [3073]	$27	179%
Evry Health [1013]	$30	199%
Sana Benefits [3069]	$30	199%
Velocity [3070]	$30	199%
Web Tpa [3049]	$49 - $55	325%

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 $15.
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 Methodist McKinney Hospital 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.