CMS Price Transparency Data

Blood test, vitamin B12

Facility: Cascade Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $109
Cash Discount Price: $157
vs. Medicare Baseline: 7.23x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Cascade Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $157. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 7.23x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$157

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $157 (1041%)

Insurance Median: $109 (723%)

Cash: $157 (1041% of Medicare)

Ins. Median: $109 (723% 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 723% of the Medicare baseline (a markup of 623%). 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
Tricare	$12	80%
Asuris Northwest Health	$15 - $176	99%
Blue Cross Blue Shield	$15 - $149	99%
First Choice Health Network	$15	99%
Humana	$15	99%
Molina Healthcare Of Washington Mcr Adv	$15	99%
Pacificsource Health Plans	$15	99%
Washington Department Of Labor And Industry	$21	139%
Medicaid / KanCare	$105	696%
Community Health Plan Of Wa Mcd Rep	$109	723%
Coordinated Care Of Wa Mcd Rep	$109	723%
Molina Healthcare Of Washington Mcd Rep	$109	723%
Aetna	$113 - $176	749%
Medicare (plans)	$113	749%
Wellcare Health Plan Inc Mcr Adv	$122	809%
Ambetter / Centene	$123	816%
Community Health Plan Of Wa	$127	842%
Cigna	$164	1088%

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 $157.
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 Cascade Medical Center 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.