CMS Price Transparency Data

Blood test, vitamin B12

Facility: Southern Hills Hospital and Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $15
Cash Discount Price: $1,018
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Southern Hills Hospital and Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,018. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$1,018

Average discount available for prompt cash payment at this facility.

Insurance Median

$15

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: $1,018 (6751%)

Insurance Median: $15 (99%)

Cash: $1,018 (6751% of Medicare)

Ins. Median: $15 (99% 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
Aetna	$2 - $25	13%
Sierra Hpn	$10	66%
Community Care Health	$10	66%
Molina Healthcare	$10 - $11	66%
Caresource	$11	73%
Ambetter / Centene	$11 - $16	73%
United	$15 - $224	99%
Sierra	$15	99%
Hometown Health McR	$15	99%
Blue Cross Blue Shield	$15 - $19	99%
Health Net	$15	99%
Select Health	$15 - $237	99%
Triwest	$15	99%
Humana	$15	99%
Alignment Health Plan	$15	99%
Caremore	$15	99%
Health Services Coalition	$16	106%
Imperial Nv	$17	113%
Universal Healthcare	$18	119%
Cigna	$20 - $39	133%
Legacy Provider Network	$48	318%
Corvel	$50 - $54	332%
Olympus Medsave USA	$53 - $772	351%
Prominence Healthfirst	$309	2049%
Cmn Global	$432	2865%
Evernorth	$514	3408%
Hometown Health Providers	$514	3408%
Nv Health & Welfare Trust	$617	4092%
Multiplan	$648 - $751	4297%
First Health	$679 - $823	4503%
Medcare International	$772	5119%

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 $1,018.
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 Southern Hills Hospital and 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.