CMS Price Transparency Data

Blood test, vitamin B12

Facility: Cedar City Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $81
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 5.37x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Cedar City Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 5.37x the Medicare baseline. Located in 1303 North Main Street, Cedar City, UT.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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: $68 (451%)
Insurance Median: $81 (537%)
Cash: $68 (451% of Medicare)
Ins. Median: $81 (537% 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 537% of the Medicare baseline (a markup of 437%). 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
Health Choice $12 - $80 80%
Health Plan Of Nevada $12 - $80 80%
Healthy U $12 - $80 80%
Molina $12 - $86 80%
Selecthealth $12 - $81 80%
Triwest $13 86%
Aetna $15 - $87 99%
American Health $15 - $16 99%
Blue Cross Blue Shield $15 - $86 99%
Health Partners Of Nevada $15 99%
Humana $15 - $16 99%
Southwest Behavioral Health $15 99%
UnitedHealthcare $15 - $81 99%
Corporation Of The President $68 451%
Corvel Corporation $68 451%
Injury Care Of Nevada $68 451%
Wcf Insurance $68 451%
Byu Risk Management $77 511%
Awh Connected $81 - $82 537%
Byu Athletic Department $81 537%
Campbell Scientific $81 537%
Deseret Mutual $81 537%
Emi $81 537%
Emi Health $81 537%
Franklin County $81 537%
Global Excel $81 537%
Ifit $81 537%
Juniper Systems $81 537%
Lw Miller $81 537%
Managed Care Admin $81 537%
Medcare International $81 537%
Motivhealth $81 537%
Pehp $81 - $86 537%
Prodegi Corp Benefit $81 537%
Tanner Llc $81 537%
Uofu $81 - $86 537%
Utah Tech $81 537%
Wise Network $81 537%
Cigna $86 570%
Health Utah $86 570%
Hygeia Corporation $86 570%
Springtide $86 570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 North Main Street, Cedar City, UT 84721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals