CMS Price Transparency Data

Blood test, vitamin B12

Facility: Intermountain Health Fillmore Community Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $86
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 5.70x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Intermountain Health Fillmore Community Hospital is $86. 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 5.70x the Medicare baseline. Located in 674 South Highway 99, Fillmore, UT.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $86 (570%)
Cash: $68 (451% of Medicare)
Ins. Median: $86 (570% 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 570% of the Medicare baseline (a markup of 470%). 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 $15 - $86 99%
Health Partners Of Nevada $15 - $41 99%
Health Plan Of Nevada $15 - $80 99%
Healthy U $15 - $80 99%
Molina $15 - $86 99%
Selecthealth $15 - $86 99%
UnitedHealthcare $15 - $86 99%
American Health $16 - $41 106%
Blue Cross Blue Shield $16 - $86 106%
Humana $16 - $41 106%
Triwest $40 265%
Injury Care Of Nevada $68 451%
Byu Risk Management $77 511%
Corporation Of The President $77 511%
Corvel Corporation $77 511%
Wcf Insurance $77 511%
Awh Connected $86 570%
Byu Athletics $86 570%
Campbell Scientific $86 570%
Cigna $86 570%
Deseret Mutual $86 570%
Emi $86 570%
Emi Health $86 570%
Franklin County $86 570%
Global Excel $86 570%
Health Utah $86 570%
Hygeia Corporation $86 570%
Ifit $86 570%
Juniper Systems $86 570%
Lw Miller $86 570%
Managed Care Admin $86 570%
Medcare International $86 570%
Motivhealth $86 570%
Pehp $86 570%
Prodegi Corp Benefit $86 570%
Springtide $86 570%
Tanner Llc $86 570%
Uofu $86 570%
Utah Tech $86 570%
Wise Network $86 570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 674 South Highway 99, Fillmore, UT 84631
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals