CMS Price Transparency Data

Blood test, vitamin B12

Facility: Central Texas Rehabilitation Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $48
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 3.18x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Central Texas Rehabilitation Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 3.18x the Medicare baseline. Located in 700 W 45Th St, Austin, TX.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $48 (318%)
Insurance Median: $48 (318%)
Cash: $48 (318% of Medicare)
Ins. Median: $48 (318% 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 318% of the Medicare baseline (a markup of 218%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $41 - $99 272%
Ascension Personalized Care Cpd $41 - $99 272%
Ascension Smart Health Cpd $41 - $99 272%
Blue Cross Blue Shield $41 - $99 272%
Cigna $41 - $99 272%
Covenant Management Cpd $41 - $99 272%
Curative Health Cpd $41 - $99 272%
Devoted Health Mcr Adv $41 - $99 272%
Humana $41 - $99 272%
Medicare (plans) $41 - $99 272%
Oscar Health Plan Aca Exch Plan $41 - $99 272%
Sendero Health Plan Chap $41 - $99 272%
Sendero Health Plan Ideal Care $41 - $99 272%
Seton Health Plan-Smarthealth $41 - $99 272%
Superior Health Plan Cpg $41 - $99 272%
Triwest Cpg $41 - $99 272%
UnitedHealthcare $41 - $99 272%
Va Triwest Cpg $41 - $99 272%
Wellmed Allcare Mgg $41 - $99 272%
Wellmed Mgg $41 - $99 272%
Wellmed Tx Mgg $41 - $99 272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 W 45Th St, Austin, TX 78751
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL