CMS Price Transparency Data

Blood test, vitamin B12

Facility: Merit Health Wesley

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $17
  • Cash Discount Price: $158
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Merit Health Wesley is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.13x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$158

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $158 (1048%)
Insurance Median: $17 (113%)
Cash: $158 (1048% of Medicare)
Ins. Median: $17 (113% 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
Medicaid / KanCare $11 - $15 73%
Caresource Truecare $14 93%
Magnolia $14 - $15 93%
Magnolia Mcd Ms Chip $14 93%
Node Champva $14 93%
Tricare $14 93%
UnitedHealthcare $14 - $69 93%
Aetna $15 - $259 99%
First Choice $15 - $496 99%
Humana $15 99%
Medicare (plans) $15 99%
Molina $15 99%
Molina Chip $15 99%
Node Devoted Health Mcr Adv $15 99%
Node First Choice American Health Mcr Adv $15 99%
Node First Choice Wellcare Mcr Adv $15 99%
Node Hospice Non Par Agree $15 99%
Node Va $15 99%
Node Vantage Mcr Adv $15 99%
Veterans Eval Services $15 99%
Node Healthy Mississippi Mcr Adv $17 113%
Node Us Dept Of Labor $19 126%
Advanced Health Systems $21 139%
Blue Cross Blue Shield $21 139%
First Choice Molina $26 172%
Magnolia Exchange $26 172%
Molina Exchange $26 172%
Ms Work Comp $28 186%
First Choice Lgp $33 219%
Vantage Health $34 225%
Chs Group Health Plan $124 822%
Self Pay $130 - $186 862%
Cigna $175 1160%
Trimed Billing Solutions $186 1233%
Benefit Management Services $403 2672%
Coventry First Health $465 3084%
Ms Dept Of Rehabilitation Services $620 4111%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals