CMS Price Transparency Data

Blood test, vitamin B12

Facility: Intermountain Health Heber Valley Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $78
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 5.17x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Intermountain Health Heber Valley Hospital is $78. 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 5.17x the Medicare baseline. Located in 454 East Medical Way, Heber City, UT.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$78

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: $78 (517%)
Cash: $68 (451% of Medicare)
Ins. Median: $78 (517% 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 517% of the Medicare baseline (a markup of 417%). 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 - $80 99%
American Health $15 - $27 99%
Blue Cross Blue Shield $15 - $80 99%
Health Partners Of Nevada $15 - $27 99%
Health Plan Of Nevada $15 - $80 99%
Healthy U $15 - $80 99%
Humana $15 - $27 99%
Molina $15 - $80 99%
Selecthealth $15 - $80 99%
UnitedHealthcare $15 - $80 99%
Triwest $30 - $68 199%
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%
Cigna $77 - $80 511%
Medcare International $77 511%
Springtide $77 511%
Uofu $77 511%
Byu Athletics $78 517%
Campbell Scientific $78 517%
Emi Health $78 517%
Franklin County $78 517%
Ifit $78 517%
Juniper Systems $78 517%
Lw Miller $78 517%
Managed Care Admin $78 517%
Motivhealth $78 517%
Prodegi Corp Benefit $78 517%
Tanner Llc $78 517%
Utah Tech $78 517%
Wise Network $78 517%
Awh Connected $80 - $81 531%
Deseret Mutual $80 531%
Emi $80 531%
Intermountain Caregiver Plan $80 531%
Pehp $80 - $81 531%
Global Excel $81 537%
Health Utah $81 537%
Hygeia Corporation $81 537%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 East Medical Way, Heber City, UT 84032
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals