CMS Price Transparency Data

Blood test, vitamin B12

Facility: Baylor Scott & White Hospital Brenham

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $89
Cash Discount Price: $112
vs. Medicare Baseline: 5.90x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Baylor Scott & White Hospital Brenham is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 5.90x the Medicare baseline. Located in 700 Medical Parkway, Brenham, TX.

Cash / Self-Pay

$112

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $112 (743%)

Insurance Median: $89 (590%)

Cash: $112 (743% of Medicare)

Ins. Median: $89 (590% 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 590% of the Medicare baseline (a markup of 490%). 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
UnitedHealthcare	$9	60%
Baylor Scott & White Health Plan	$23 - $80	153%
Triwest	$24	159%
American Health Plan	$26	172%
Blue Cross Blue Shield	$26 - $89	172%
Corvel	$26	172%
Healthspring	$26	172%
Prime Health Services	$26	172%
Procare Advantage	$26	172%
Superior Health Plan	$26	172%
Careworks Fka Rockport	$30	199%
Injury Management Organization	$30	199%
Sedgwick	$30	199%
Cigna	$96 - $113	637%
Aetna	$103	683%
Midcoast	$103	683%
Quiktrip	$103	683%
University Of Mary Hardin-Baylor	$109	723%
Independent Medical System	$112	743%
Imagine Health	$117	776%
Curative	$122	809%
First Health	$131	869%
Healthsmart	$131 - $141	869%
Humana	$131 - $150	869%
Private Health Care System	$141	935%
Bluebell Creameries	$169	1121%

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 $112.
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 Baylor Scott & White Hospital Brenham 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.