CMS Price Transparency Data

Blood test, vitamin B12

Facility: Astria Toppenish Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $100
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Astria Toppenish Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.
Cash / Self-Pay
$100

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $100 (663%)
Insurance Median: $16 (106%)
Cash: $100 (663% of Medicare)
Ins. Median: $16 (106% 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.

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
Medicaid / KanCare $3 - $44 20%
Regence $6 - $98 40%
Premera $7 - $109 46%
Premera_Affordable_Care $7 - $109 46%
Ambetter / Centene $11 73%
UnitedHealthcare $11 - $239 73%
Va $11 73%
Chpw_Cascade_Care $12 - $182 80%
Medicare (plans) $12 - $239 80%
Molina $12 80%
First_Choice $13 - $199 86%
Aetna $15 - $254 99%
Cigna $15 99%
Humana $15 - $289 99%
Li $15 99%
Molina_Exchange $15 99%
Tpsc $15 - $225 99%
Tricare $15 99%
Zenith $15 99%
Bcchp $19 - $289 126%
Great_Rivers $19 - $289 126%
Healthcomp $19 - $289 126%
Washington_State_Hca $19 - $289 126%
Kaiser $58 385%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals