CMS Price Transparency Data

Blood test, vitamin B12

Facility: St Marys Good Samaritan Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $19
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at St Marys Good Samaritan Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.26x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $42 (279%)
Insurance Median: $19 (126%)
Cash: $42 (279% of Medicare)
Ins. Median: $19 (126% 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 - $47 86%
Aetna $18 - $52 119%
Ambetter / Centene $18 119%
Care Improvement Plus $18 119%
Caresource $18 119%
Cigna $18 - $53 119%
Coventry $18 - $49 119%
Eon Health Plan $18 119%
Humana $18 - $49 119%
Kaiser Permanente $18 119%
Molina $18 119%
Pruitthealth Premier $18 119%
Todays Options Pffs $18 119%
Todays Options Ppo $18 119%
UnitedHealthcare $18 - $2,632 119%
Vaccn United $18 119%
Wellcare $18 119%
Amerigroup $19 126%
First Health $49 325%
Phcs $49 325%
Meritain $52 345%
Multiplan $55 - $57 365%
Nova $55 - $58 365%
Three Rivers Provider Network $58 385%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5401 Lake Oconee Parkway, Greensboro, GA 30642
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals