CMS Price Transparency Data

Blood test, vitamin B12

Facility: Medical Center Enterprise

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $309
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Medical Center Enterprise is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $309. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$309

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: $309 (2049%)
Insurance Median: $15 (99%)
Cash: $309 (2049% 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.

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 $7 - $11 46%
Tricare $12 80%
Bc Pml $13 86%
Node Champva $13 86%
UnitedHealthcare $14 - $15 93%
Aetna $15 - $1,109 99%
Blue Cross Blue Shield $15 - $17 99%
Covenant Hospice $15 99%
Dayspring Hospice $15 99%
Healthspring $15 99%
Humana $15 99%
Medicare (plans) $15 99%
Node Clover Mcr Adv $15 99%
Node Devoted Health Mcr Adv $15 99%
Node Hospice Non Par $15 99%
Node Va $15 99%
Node Wellcare Mcr Adv $15 99%
Occunet $15 99%
Select Health $15 99%
Southerncare Hospice $15 99%
Veterans Eval Services $15 99%
Wiregrass Hospice $15 99%
Eon Health $16 106%
Al Maternity Waiver Program $17 113%
Node Us Dept Of Labor $19 126%
Ambetter / Centene $23 153%
Cigna $27 - $138 179%
Self Pay $143 - $475 948%
American Employee Alliance $633 4198%
Alamed $950 6300%
Affordable Health $1,109 7354%
Health Choice $1,109 7354%
Novanet Ppo $1,109 7354%
Coventry Work Comp Al $1,166 7732%
Multiplan $1,172 - $1,251 7772%
Wc Dept Ind Relations $1,267 8402%
Corvel $1,346 8926%
Galaxy Health $1,425 9450%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals