CMS Price Transparency Data

Blood test, vitamin B12

Facility: Bayou Bend Health System

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $60
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 3.98x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Bayou Bend Health System is $60. 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 3.98x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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: $60 (398%)
Cash: $78 (517% of Medicare)
Ins. Median: $60 (398% 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 398% of the Medicare baseline (a markup of 298%). 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
UnitedHealthcare $14 - $76 93%
Blue Cross Blue Shield $21 - $108 139%
Tricare $31 - $69 206%
Aetna $34 - $104 225%
Dignity Mcr Adv Ip/Op Only-All Plans $34 - $76 225%
Humana $34 - $99 225%
Sterling Hp Mcr Adv Ip/Op Only-All Plans $34 - $76 225%
Verity Healthnet Mcr Adv Ip/Op Only $34 - $76 225%
Wellcare Mcr Allwell Ip/Op Only-All Plans $34 - $76 225%
Ambetter / Centene $40 - $88 265%
Cigna $48 - $107 318%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans $49 - $108 325%
La Health Mcaid Ip/Op Only $49 - $108 325%
Verity Healthnet Mcaid Ip/Op Only $49 - $108 325%
Diocese Of Lafaytte Ip/Op Only-All Plans $52 - $115 345%
Gilsbar 360 Ip/Op Only-All Plans $52 - $115 345%
Verity Healthnet Ip/Op Only-All Other Plans $52 - $115 345%
Ccn/First Health Ip/Op Only-All Plans $55 - $122 365%
Integrated Hp Multiplan Ip/Op Only-All Plans $55 - $122 365%
Ppo Plus / Zelis Ip/Op Only-All Plans $55 - $122 365%
Geha Ppo Ip/Op Only-All Plans $59 - $130 391%
Usa Mco Ip/Op Only-All Plans $59 - $130 391%
Galaxy Ip/Op Only-All Plans $62 - $138 411%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1097 Northwest Blvd, Franklin, LA 70538
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals