CMS Price Transparency Data

Blood test, vitamin B12

Facility: Gadsden Regional Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Gadsden Regional Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$193

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: $193 (1280%)
Insurance Median: $16 (106%)
Cash: $193 (1280% 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 $11 73%
Tricare $12 80%
Bc Pml $13 86%
Node Champva $13 86%
UnitedHealthcare $14 - $15 93%
Aetna $15 - $667 99%
Amedisys Hospice $15 99%
Blue Cross Blue Shield $15 99%
Cigna $15 - $95 99%
Gadsden Hospice $15 99%
Humana $15 99%
Medicare (plans) $15 99%
Node Clover Health Mcr Adv $15 99%
Node Devoted Health Mcr Adv $15 99%
Node Non Par Hospice Agree $15 99%
Node Select Health Mcr Adv $15 99%
Node Va $15 99%
Node Viva Mcr Adv $15 99%
Node Wellcare Mcr Adv $15 99%
Southern Care Hospice $15 99%
Veterans Eval Services $15 99%
Node Eon Mcr Adv $16 106%
Prime Health $16 - $930 106%
Node Us Dept Of Labor $19 126%
Ambetter / Centene $23 153%
Self Pay $154 - $232 1021%
American Employee Alliance $515 3415%
Multiplan $721 - $811 4781%
Magellan Behavioral $772 5119%
Viva Healthcare $772 5119%
First Health $901 - $1,039 5975%
Beech Street $940 - $1,525 6233%
Alamed Wc $965 6399%
Focus Health $985 6532%
Coventry Work Comp Al $1,007 6678%
Work Comp $1,094 7255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals