CMS Price Transparency Data

Blood test, vitamin B12

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $92
Cash Discount Price: $78
vs. Medicare Baseline: 6.10x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Holy Cross Hospital - Salt Lake is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 6.10x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$78

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $78 (517%)

Insurance Median: $92 (610%)

Cash: $78 (517% of Medicare)

Ins. Median: $92 (610% 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 610% of the Medicare baseline (a markup of 510%). 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
Blue Cross Blue Shield	$10 - $116	66%
Cigna	$13 - $155	86%
Denver Health	$13	86%
Health Choice	$13	86%
Medicaid / KanCare	$13	86%
Rocky Mountain Health Plan	$13	86%
Uuhp	$13 - $35	86%
Humana	$15	99%
Medicare (plans)	$15	99%
Centura Employee Plan	$19	126%
Employer Direct Healthcare	$19	126%
UnitedHealthcare	$19	126%
Motivhealth	$20	133%
Molina	$31 - $83	206%
Pehp	$83 - $194	550%
Aetna	$86 - $164	570%
Wise	$101 - $103	670%
Deseret Mutual Benefit Administrators	$119	789%
Select Health	$128	849%
Multiplan	$134 - $177	889%
Emi Health	$194	1286%

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 $78.
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 Holy Cross Hospital - Salt Lake 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.