CMS Price Transparency Data

Blood test, vitamin B12

Facility: Atrium Health Floyd Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $108
Cash Discount Price: $198
vs. Medicare Baseline: 7.16x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Atrium Health Floyd Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 7.16x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$198

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $198 (1313%)

Insurance Median: $108 (716%)

Cash: $198 (1313% of Medicare)

Ins. Median: $108 (716% 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 716% of the Medicare baseline (a markup of 616%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$15 - $269	99%
Blue Cross Blue Shield	$15 - $296	99%
Caresource	$15 - $67	99%
Cigna	$15 - $237	99%
Georgia Assurance	$15	99%
Humana	$15 - $257	99%
Occunet	$15	99%
UnitedHealthcare	$15 - $296	99%
Wellcare	$15	99%
Clover	$16	106%
Peach State Health Plan	$19	126%
Alliant Health Plans	$23 - $158	153%
Ambetter / Centene	$23	153%
Amerigroup	$67	444%
Awc Networks	$77	511%
Oscar Health Plan	$77 - $138	511%
Beacon	$198	1313%
Evernorth	$198	1313%
Multiplan	$276	1830%
Beech Street	$308	2042%
Private Health Care Systems	$336	2228%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $198.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Floyd Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.