CMS Price Transparency Data

Blood test, vitamin B12

Facility: Doctors Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $411
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Doctors Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $411. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$411

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $411 (2725%)
Insurance Median: $16 (106%)
Cash: $411 (2725% of Medicare)
Ins. Median: $16 (106% 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
Blue Cross Blue Shield $13 - $17 86%
Humana $13 - $15 86%
Aetna $14 - $227 93%
Absolute Total Care $15 - $74 99%
Caresource $15 99%
Coventry $15 99%
Devoted Health $15 99%
Friday Health $15 99%
Health Net $15 99%
Healthspring $15 99%
Regency Hospice $15 99%
St Joseph Hospice $15 99%
United $15 - $185 99%
Wellcare $15 - $82 99%
Clover $16 106%
Eon Health $16 106%
Georgia Assurance $16 106%
Shared Health $16 106%
Health One Alliance $18 119%
Qtc Medical Group $18 119%
Blue Choice $19 126%
Ambetter / Centene $20 133%
Dept Of Community Health $23 153%
Amerigroup $58 385%
Nhc Advantage $78 517%
Pruitt Health $78 517%
Peach State $82 544%
Centurion $114 756%
Americas 1St Choice $115 763%
Medcost $206 - $263 1366%
Kaiser Permanente $225 1492%
Multiplan $247 - $370 1638%
Performax $279 1850%
First Health $308 2042%
Employer'S Health Network $329 2182%
Novanet $370 2454%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals