CMS Price Transparency Data

Blood test, vitamin B12

Facility: Flowers Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $24
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Flowers Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.59x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $36 (239%)
Insurance Median: $24 (159%)
Cash: $36 (239% of Medicare)
Ins. Median: $24 (159% 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%
Alabama Rehab $11 73%
Tricare $12 80%
Bc Pml $13 86%
Node Champva $13 86%
UnitedHealthcare $14 - $15 93%
Aetna $15 - $118 99%
Blue Cross Blue Shield $15 - $18 99%
Care Improvement Plus $15 99%
Cigna $15 - $24 99%
Compassionate Hands $15 99%
Covenant Hospice $15 99%
Dayspring 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 Hospice Non Par $15 99%
Node Va $15 99%
Node Viva Mcr Adv $15 99%
Node Wellcare Mcr Adv $15 99%
Occunet $15 99%
Select Health $15 99%
Southern Care Hospice $15 99%
Veterans Eval Services $15 99%
Vistacare Hospice $15 99%
Wiregrass Hospice $15 99%
Eon Health Care $16 106%
Prime Health $16 - $114 106%
Node Us Dept Of Labor $19 126%
Ambetter / Centene $23 153%
Self Pay $24 - $49 159%
S & S Healthcare $40 265%
Choicecare Commercial $57 378%
American Employee Alliance $65 431%
Coventry Healthcare $81 - $124 537%
Viva Health $97 643%
Multiplan $105 - $130 696%
Standard Textile $113 749%
Alamed Wc $114 756%
Health Choice $118 782%
Equian $122 - $128 809%
Qhp $122 809%
Novanet $130 862%
Alabama Work Comp $134 889%
Ccn/Mednet Ppo $138 915%
Corvel $138 915%
Industry Buying Group $138 915%
Galaxy Health $146 968%
Health Payors Org $146 968%
National Provider Net $146 968%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals