CMS Price Transparency Data

Blood test, vitamin B12

Facility: Mary Bridge Children's Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $19
Cash Discount Price: $54
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Mary Bridge Children's Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.26x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$19

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: $54 (358%)

Insurance Median: $19 (126%)

Cash: $54 (358% of Medicare)

Ins. Median: $19 (126% 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.

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
Molina	$9 - $27	60%
Wellpoint	$9	60%
Community Health Plan Of Washington	$10 - $28	66%
Coordinated Care	$10	66%
UnitedHealthcare	$10 - $18	66%
Aetna	$15 - $116	99%
Premera	$15 - $19	99%
Regence	$15 - $19	99%
Wellcare	$16	106%
Kaiser	$19	126%
Uniform Medical	$19	126%
Ambetter / Centene	$32	212%
Pacificsource	$34 - $49	225%
First Choice	$78 - $116	517%
First Health	$96 - $120	637%
Multiplan/Phcs	$96 - $120	637%
Cigna	$98 - $125	650%

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 $54.
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 Mary Bridge Children's 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.