CMS Price Transparency Data

Blood test, vitamin B12

Facility: Anderson Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $23
  • Cash Discount Price: $118
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Anderson Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.53x the Medicare baseline. Located in 6800 State Route 162, Maryville, IL.
Cash / Self-Pay
$118

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $118 (782%)
Insurance Median: $23 (153%)
Cash: $118 (782% of Medicare)
Ins. Median: $23 (153% 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
Medicaid / KanCare $12 - $13 80%
Tricare $14 93%
Aetna $15 - $23 99%
Clear Springs Health $15 99%
Devoted Health Ppo $15 99%
Essence $15 - $16 99%
Humana $15 99%
Medicare (plans) $15 99%
UnitedHealthcare $15 - $25 99%
Health Care Service Corporation $18 - $108 119%
Ambetter / Centene $22 146%
Blue Choice $22 146%
Mercy Benefit Admin $25 166%
Mercy Aco $26 172%
Hopetrust $38 252%
Work Comp $57 - $26,600 378%
Healthlink $83 550%
Self Pay $118 - $25,000 782%
Blue Cross Blue Shield $126 - $131 836%
Cigna $176 1167%
Multiplan/Phcs $176 1167%
Beech Street Corporation $212 1406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 State Route 162, Maryville, IL 62062
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals