CMS Price Transparency Data

Blood test, vitamin B12

Facility: Gibson General Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $27
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Gibson General Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.79x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $39 (259%)
Insurance Median: $27 (179%)
Cash: $39 (259% of Medicare)
Ins. Median: $27 (179% 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 $7 - $60 46%
UnitedHealthcare $9 - $51 60%
Medicaid / KanCare $12 80%
Meridiancare (Il) $12 - $23 80%
Meridianhealth (Il) $12 80%
Aetna $15 - $57 99%
Alliance Coal $15 - $18 99%
Ambetter / Centene $15 - $23 99%
Caresource $15 99%
Caresource Just For Me $15 - $23 99%
Mdwise Plans $15 99%
Medicare (plans) $15 - $23 99%
Meridiancomplete (Il) $15 - $23 99%
Mhs $15 99%
Mytruadvantage $15 - $23 99%
Va Ccn $15 - $23 99%
Caresource In Marketplace $20 - $41 133%
Deaconess Onecare $20 - $61 133%
Claimdoc $21 - $62 139%
Encircle/Encore Combined $23 - $62 153%
Encircle/Encore Prime $23 - $55 153%
Hopetrust $23 - $62 153%
Hstechnology $23 - $62 153%
Noncontracted $24 - $37 159%
Cigna $27 - $64 179%
First Health $27 - $66 179%
Healthlink Hmo $27 - $66 179%
Healthlink Ppo $27 - $66 179%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $27 - $64 179%
Ky Racing Health & Welfare Fund $30 - $39 199%
Self-Pay $30 - $39 199%
Chambercare $51 - $58 338%
Gibson County Sheriff $62 - $72 411%
Integrated Health $66 - $76 438%
Principal Health Care $66 - $76 438%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1808 Sherman Drive, Princeton, IN 47670
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals