CMS Price Transparency Data

Blood test, vitamin B12

Facility: Baptist Medical Center - Nassau

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $43
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 2.85x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Baptist Medical Center - Nassau is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.85x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $69 (458%)
Insurance Median: $43 (285%)
Cash: $69 (458% of Medicare)
Ins. Median: $43 (285% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 285% of the Medicare baseline (a markup of 185%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerigroup Of Georgia $7 46%
Amerihealth Caritas $7 46%
Daniel Memorial $7 46%
Florida Community Care $7 - $16 46%
Humana $7 46%
Nassaua County Sheriff'S Office $7 46%
Simply Healthcare Plans $7 - $8 46%
Simply Healthcare Plans - Cha $7 46%
Sunshine State Health Plan $7 46%
United Community Plan $7 46%
Vivida Health $7 46%
Aetna $8 - $89 53%
Molina Healthcare Of Florida $8 53%
Community Hospice Of Northeast Florida $15 99%
Pace $15 99%
Tomorrow'S Rainbow $15 99%
UnitedHealthcare $15 - $54 99%
Va Ccn $15 99%
Devoted $16 106%
Upmc $17 113%
Blue Cross Blue Shield $32 - $72 212%
Ambetter / Centene $36 239%
Avmed $36 - $83 239%
Borland Groover $44 292%
Occunet $44 292%
Northeast Florida State Hospital $47 312%
Centivo $49 - $94 325%
Capital Health Plan $51 338%
Geo Group $56 371%
Watchtower $61 405%
Fscj Student Insurance $67 444%
Savannah Grand Of Amelia Island $67 444%
Cigna $69 - $85 458%
Suddath Company $70 464%
Medicaid / KanCare $72 477%
Peach State Health Plan $72 477%
Phcs $83 550%
Evolutions Healthcare $100 663%
Multiplan $100 663%
Corvel $109 723%
Coventry Workers Comp $109 723%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals