CMS Price Transparency Data

Blood test, vitamin B12

Facility: Northern Louisiana Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $484
  • Cash Discount Price: $380
  • vs. Medicare Baseline: 32.10x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Northern Louisiana Medical Center is $484. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $380. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 32.10x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$380

Average discount available for prompt cash payment at this facility.

Insurance Median
$484

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: $380 (2520%)
Insurance Median: $484 (3210%)
Cash: $380 (2520% of Medicare)
Ins. Median: $484 (3210% 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 3210% of the Medicare baseline (a markup of 3110%). 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
Champus $12 80%
Champva $12 80%
Tricare $12 - $15 80%
Golden Rule Ins $13 - $416 86%
UnitedHealthcare $13 - $416 86%
Aetna $15 - $415 99%
Blue Cross Blue Shield $15 - $99 99%
Gulf South Services $15 99%
Humana $15 - $109 99%
Medicaid / KanCare $15 - $692 99%
Medicare (plans) $15 99%
Mutual Of Omaha $15 99%
Va $15 99%
Vantage Advantage $15 99%
Veterans Evaluation Svcs $15 99%
Vantage Health Plan Ppaca $29 192%
Vantage Health Plan $30 199%
First Health $32 - $588 212%
Verity Healthnet $339 2248%
Cigna $346 2294%
Kaiser Permanente $346 2294%
Gilsbar $380 2520%
Self Pay $380 2520%
Geha $553 - $657 3667%
Multiplan $588 3899%
Phcs $588 3899%
Work Comp City Of Ruston $622 4125%
Work Comp First Health $622 4125%
Work Comp Nlmc Emp $622 4125%
Workers Compensation $622 4125%
Aarp $692 4589%
Aflc American Family Life $692 4589%
American Life Accident $692 4589%
Apwu Health Plan $692 4589%
Bankers Life And Casualty $692 4589%
Benefit Trust Life $692 4589%
Crime Victims Compensatio $692 4589%
Equitable $692 4589%
Fox Everett Inc $692 4589%
Gmp Employers Retiree Tru $692 4589%
Gsu Athletics $692 4589%
Guarantee Trust Life Ins $692 4589%
Healthfirst Tpa $692 4589%
Hospice Of Caring Hearts $692 4589%
Ima Insurance $692 4589%
Industrial Accounts $692 4589%
Liberty Healthshare $692 4589%
Liberty Mutual Group $692 4589%
Lifecare Specialty Hosp $692 4589%
Lin Parish Detention $692 4589%
Lincoln Kidney Center $692 4589%
Ltu Athletics $692 4589%
Ltu Student Ins Bollinger $692 4589%
Mcr American Hlth Adv $692 4589%
Misc Commercial $692 4589%
Mva Insurance Payors $692 4589%
Nalc Health Benefit Plan $692 4589%
Nalc Natl Assoc Ltr Carri $692 4589%
Newera $692 4589%
Nlmc Community Services $692 4589%
Physicians Mutual Ins $692 4589%
Premier Hospice $692 4589%
Principal Mutual Life Ins $692 4589%
Protective Life Ins $692 4589%
Ruston Regional Specialty $692 4589%
Specialty Hosp Of Winnfie $692 4589%
State Farm Insurance $692 4589%
State Mutual Ins $692 4589%
Sterling Investors Life $692 4589%
The Hartford $692 4589%
Union Bankers Insurance C $692 4589%
Union Fidelity Life Ins $692 4589%
United American $692 4589%
United Teachers Ins $692 4589%
Us Dept Of Labor $692 4589%
Washington National Ins $692 4589%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals