CMS Price Transparency Data

Blood test, vitamin B12

Facility: Three Rivers Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $329
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 21.82x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Three Rivers Medical Center is $329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 21.82x the Medicare baseline. Located in 2485 Highway 644, Louisa, KY.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$329

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: $232 (1538%)
Insurance Median: $329 (2182%)
Cash: $232 (1538% of Medicare)
Ins. Median: $329 (2182% 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 2182% of the Medicare baseline (a markup of 2082%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 - $387 86%
UnitedHealthcare $216 - $387 1432%
Multiplan Primary Network-All Other Plans $232 1538%
Humana $259 - $387 1718%
Cigna $329 2182%
Multiplan Complementary Network $329 2182%
Aetna $348 - $368 2308%
Wellcare Mcaid-All Plans $407 2699%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2485 Highway 644, Louisa, KY 41230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals