CMS Price Transparency Data

Blood test, vitamin B12

Facility: Lincoln Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $149
Cash Discount Price: $168
vs. Medicare Baseline: 9.88x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Lincoln Hospital is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 9.88x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$149

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: $168 (1114%)

Insurance Median: $149 (988%)

Cash: $168 (1114% of Medicare)

Ins. Median: $149 (988% 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 988% of the Medicare baseline (a markup of 888%). 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
Labor & Industries - All Plans	$21	139%
Ambetter / Centene	$87	577%
Molina Hlthy Options	$87	577%
UnitedHealthcare	$87 - $164	577%
Amerigroup Mcaid - All Plans	$93	617%
Aetna	$104 - $177	690%
Indian Hlth Services - All Plans	$104	690%
Tricare	$104	690%
Va Ccn - All Plans	$104	690%
Cigna	$142	942%
Molina Exchange-All Other Plans	$148	981%
Focus Healthcare Mgmt - All Plans	$149	988%
Blue Cross Blue Shield	$164	1088%
Uniform Medical Plan-All Plans	$164	1088%
First Health Coventry-All Plans	$166	1101%
Health Management Network-All Plans	$168	1114%
Three Rivers-All Plans	$168	1114%
Asuris Nw Health-All Plans	$172	1141%
Multiplan-All Plans	$177	1174%
Physician Hosp Comm Org-All Plans	$177	1174%
First Choice Health- All Plans	$181	1200%

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 $168.
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 Lincoln Hospital 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.