CMS Price Transparency Data

Blood test, vitamin B12

Facility: Astria Sunnyside Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Astria Sunnyside Hospital is $16. 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 1.06x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.
Cash / Self-Pay
$68

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: $68 (451%)
Insurance Median: $16 (106%)
Cash: $68 (451% 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 $4 - $67 27%
Molina $4 - $54 27%
Regence $9 - $113 60%
Cigna $11 - $132 73%
Li $11 - $135 73%
First_Choice $14 - $165 93%
Kaiser $14 - $173 93%
Medicare (plans) $14 - $16 93%
Tpsc $14 - $172 93%
Aetna $15 - $194 99%
Healthcomp_Ihs $15 99%
Humana $15 - $198 99%
Premera $15 - $179 99%
Tricare $15 99%
UnitedHealthcare $15 - $187 99%
Va $15 99%
Fhpw $16 - $194 106%
Healthcomp $16 - $198 106%
Bcchp $18 - $220 119%
Great_Rivers $18 - $220 119%
Zenith $18 - $220 119%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1016 Tacoma Avenue, Sunnyside, WA 98944
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals