CMS Price Transparency Data

Blood test, vitamin B12

Facility: Abbeville General Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $101
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 6.70x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Abbeville General Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 6.70x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $78 (517%)
Insurance Median: $101 (670%)
Cash: $78 (517% of Medicare)
Ins. Median: $101 (670% 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 670% of the Medicare baseline (a markup of 570%). 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 $7 - $69 46%
Cigna $9 - $77 60%
Humana $14 - $117 93%
Triwest Healthcare Alliance $14 93%
Aetna $15 - $109 99%
Healthy Blue $15 99%
Medicare (plans) $15 99%
People'S Health $15 99%
Sierra Health And Life Insurance $15 99%
Sterling Life Insurance Company $15 99%
UnitedHealthcare $15 - $124 99%
Magellan Behavioral Health $16 106%
Ppo Plus Professional $27 179%
Vantage Health Plan $32 - $280 212%
Office Of Group Benefits $41 272%
Self Pay $78 517%
Gilsbar Ppo $117 - $121 776%
Ppo Plus $117 776%
United Behavioral Health Inc $117 776%
Verity Healthnet National $117 776%
American Lifecare (Phcs) $121 - $124 802%
Guardian Resources $124 822%
Coventry Company $132 875%
Galaxy Health Network $132 875%
Usa Managed Care $132 875%
Health Payors Organization $140 928%
Miscellaneous Insurance $156 1034%
Wellcare Of Louisiana $156 1034%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 118 N Hospital Dr, Abbeville, LA 70510
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals