CMS Price Transparency Data

Blood test, vitamin B12

Facility: Athur M Blank Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $62
Cash Discount Price: $202
vs. Medicare Baseline: 4.11x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Athur M Blank Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 4.11x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$202

Average discount available for prompt cash payment at this facility.

Insurance Median

$62

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: $202 (1340%)

Insurance Median: $62 (411%)

Cash: $202 (1340% of Medicare)

Ins. Median: $62 (411% 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 411% of the Medicare baseline (a markup of 311%). 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
Caresource [61]	$21	139%
Peachstate [43]	$21	139%
Amerigroup [102]	$24	159%
Aetna	$44 - $227	292%
Ambetter / Centene	$44 - $226	292%
Blue Cross Blue Shield	$44 - $329	292%
Cigna	$44 - $223	292%
Oscar [228]	$44 - $226	292%
United [5]	$44 - $224	292%
Caresource Marketplace Bronze/Silver/Gold [60]	$45 - $229	298%
Kaiser [6]	$45 - $229	298%
Coventry [9]	$46 - $237	305%
Direct Employer Agreements [72]	$46 - $286	305%
Sidecar Health [236]	$46 - $233	305%
First Health [74]	$50 - $253	332%
Northeast Georgia Heatlh System [808]	$50 - $253	332%
Veracity Benefits [809]	$50 - $253	332%
Phcs [93]	$56 - $286	371%
Secure Health [340]	$56 - $286	371%
Beech Street [71]	$59 - $303	391%
Multiplan [92]	$65 - $330	431%
Novanet [41]	$66 - $337	438%

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 $202.
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 Athur M Blank Hospital 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.