CMS Price Transparency Data

Blood test, vitamin B12

Facility: Acadia General Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Acadia General Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 1305 Crowley Rayne Highway, Crowley, LA.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $15 (99%)
Insurance Median: $16 (106%)
Cash: $15 (99% of Medicare)
Ins. Median: $16 (106% 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 $8 - $31 53%
Aetna $15 - $22 99%
Amerihealth Caritas Louisiana (Healthy Louisiana) $15 99%
Healthy Blue (Healthy Louisiana) $15 99%
Healthy Blue Dual Advantage (Hmo-D-Snp) $15 99%
Humana $15 99%
Louisiana Healthcare Connections (Healthy Louisiana) $15 99%
Medicare (plans) $15 99%
Ochsner Health Plan $15 99%
UnitedHealthcare $15 99%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $16 106%
Wellcare Of Louisiana $16 106%
Tricare $17 113%
Zelis $17 113%
Verity Commercial And First Choice Network $18 - $29 119%
Cigna $40 - $64 265%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 Crowley Rayne Highway, Crowley, LA 70526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals