CMS Price Transparency Data

Blood test, vitamin B12

Facility: Merit Health Women's Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $55
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Merit Health Women's Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$55

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: $55 (365%)
Insurance Median: $15 (99%)
Cash: $55 (365% 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 - $144 13%
Cigna $3 - $110 20%
Self Pay $3 - $111 20%
Trimed Billing Solutions $5 - $151 33%
State Hospital $6 - $192 40%
First Choice Mpcn $7 - $227 46%
First Choice Standard $7 - $232 46%
Coventry First Health $8 - $262 53%
First Choice Ppo Plus $8 - $277 53%
Aetna $11 - $353 73%
Benefit Management Systems $11 - $428 73%
First Choice Stratose $12 - $403 80%
Health Choice Of Mississippi $12 - $403 80%
Prime Health Services $12 - $403 80%
Tricare $12 - $14 80%
Caresource Truecare $14 93%
Magnolia Mcd Ms Chip $14 93%
Medicaid / KanCare $14 - $15 93%
Node Champva $14 93%
Advanced Health Systems $15 - $21 99%
Blue Cross Blue Shield $15 - $21 99%
Humana $15 99%
Medicare (plans) $15 99%
Mississippi Department Of Rehabilitation Services $15 - $504 99%
Molina Chip $15 99%
Molina Exchange $15 - $26 99%
Ms Work Comp $15 - $504 99%
Node Devoted Health Mcr Adv $15 99%
Node First Choice American Health Of Ms Mcr Adv $15 99%
Node First Choice Seven Corners $15 - $26 99%
Node First Choice Wellcare Mcr Adv $15 99%
Node Molina Mcr Adv $15 99%
Node Shared Health Of Ms Mcr Adv $15 99%
Node Va $15 99%
Node Vantage Health Mcr Adv $15 99%
Node Windsor Mcr Adv $15 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%
First Choice Lgp $33 219%
Vantage Health $34 225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals