CMS Price Transparency Data

Blood test, vitamin B12

Facility: Baldwin Health

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $22
  • Cash Discount Price: $223
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Baldwin Health is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $223. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.46x the Medicare baseline. Located in 1613 North McKenzie Street, Foley, AL.
Cash / Self-Pay
$223

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $223 (1479%)
Insurance Median: $22 (146%)
Cash: $223 (1479% of Medicare)
Ins. Median: $22 (146% 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
First Choice $8 53%
Medicaid / KanCare $11 73%
Tricare $12 80%
Bc Pml $13 86%
Node Champva $13 86%
UnitedHealthcare $14 - $15 93%
Aetna $15 - $837 99%
Blue Cross Blue Shield $15 - $17 99%
Cigna $15 - $62 99%
Community Hospice $15 99%
Hospice $15 99%
Humana $15 99%
Medicare (plans) $15 99%
Mercy Medical Hospice $15 99%
Node Clover Health Mcr Adv $15 99%
Node Devoted Health Mcr Adv $15 99%
Node Va $15 99%
Node Wellcare Mcr Adv $15 99%
Select Health $15 99%
Triwest $15 99%
Veterans Eval Services $15 99%
Windsor Health Plan $15 99%
Us Dol $19 126%
Ambetter / Centene $23 153%
Self Pay $167 - $279 1107%
American Employee Alliance $372 2467%
Multiplan $530 - $762 3515%
First Health $697 - $751 4622%
Alamed $711 4715%
Multiplan Inc $711 4715%
Coventry Work Comp Al $727 4821%
One Health $744 4934%
Pro America $744 4934%
Novanet $751 4980%
Alabama Wc $790 5239%
Gulf Health $790 5239%
Principal Ppo $790 5239%
Viva Health $790 5239%
National Health $837 5550%
Galaxy $846 5610%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1613 North McKenzie Street, Foley, AL 36535
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals