CMS Price Transparency Data

Blood test, vitamin B12

Facility: Merit Health Central

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Merit Health Central is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 1850 Chadwick Dr, Jackson, MS.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $5 (33%)
Insurance Median: $15 (99%)
Cash: $5 (33% of Medicare)
Ins. Median: $15 (99% 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
UnitedHealthcare $2 - $90 13%
Cigna $3 - $84 20%
Self Pay $4 - $106 27%
Trimed Billing Solutions $5 - $128 33%
Ms State Hospital Of Whitfield $6 - $162 40%
First Choice Ppo Plus $7 - $191 46%
First Choice Standard $7 - $196 46%
First Choice Mpcn Standard $8 - $234 53%
Benefit Management Systems $11 - $361 73%
Citizens State Bank Inc $11 - $361 73%
First Choice Stratose $12 - $340 80%
Prime Health Services $12 - $340 80%
Tricare $12 - $14 80%
American Health Group $13 - $361 86%
Beech Street $13 - $361 86%
Hinds County Prisoners $13 86%
Medicaid / KanCare $13 - $15 86%
Caresource Truecare $14 93%
Magnolia Mcd Ms Chip $14 93%
Node Champva $14 93%
One Health Plan $14 - $382 93%
Advanced Health Systems $15 - $21 99%
Aetna $15 - $500 99%
Blue Cross Blue Shield $15 - $21 99%
Humana $15 99%
Medicare (plans) $15 99%
Molina $15 99%
Molina Chip $15 99%
Molina Exchange $15 - $26 99%
Ms Dept Of Rehabilitation Services $15 - $425 99%
Node Devoted Health Mcr Adv $15 99%
Node First Choice American Health Of Ms Mcr Adv $15 99%
Node First Choice Shared Health Of Ms Mcr Adv $15 99%
Node First Choice Wellcare Mcr Adv $15 99%
Node Hospice Non Par Agree $15 99%
Node Magnolia Mcr Adv $15 99%
Node Va $15 99%
Node Vantage Health Mcr Adv $15 99%
Seven Corners $15 - $26 99%
Veterans Eval Services $15 99%
Node Healthy Mississippi Mcr Adv $17 113%
Node Us Dept Of Labor $19 126%
First Choice Preferred $23 153%
Occunet $23 153%
Magnolia Exchange $26 172%
Prime Work Comp $27 179%
Ms Work Comp $28 186%
First Choice Lgp $33 219%
Vantage Health Commercial $34 225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1850 Chadwick Dr, Jackson, MS 39204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals