CMS Price Transparency Data

Blood test, vitamin B12

Facility: Novant Health Forsyth Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $88
Cash Discount Price: $86
vs. Medicare Baseline: 5.84x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Novant Health Forsyth Medical Center is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 5.84x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$88

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: $86 (570%)

Insurance Median: $88 (584%)

Cash: $86 (570% of Medicare)

Ins. Median: $88 (584% 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 584% of the Medicare baseline (a markup of 484%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerihealth	$11 - $42	73%
Blue Cross Blue Shield	$11 - $161	73%
Carolina Complete	$11 - $42	73%
Nc Department Of Public Safety	$11 - $42	73%
UnitedHealthcare	$11 - $151	73%
Wellcare	$11 - $42	73%
Aetna	$15 - $179	99%
Humana	$15 - $174	99%
Pace Of The Southern Piedmont	$15	99%
Cigna	$16 - $133	106%
Liberty Health	$16	106%
Caresource North Carolina	$23 - $90	153%
Atlantic Corporation Dba Atlantic Packaging	$33 - $127	219%
Plotkin Health	$35 - $134	232%
Amps	$38 - $146	252%
Medcost	$49 - $211	325%
Primary Physician Care	$51 - $197	338%
Beechstreet	$52 - $202	345%
Multiplan	$52 - $202	345%
Phcs	$52 - $202	345%
Employers Choice Network	$56 - $217	371%
Three Rivers Provider Network	$56 - $217	371%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $86.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Novant Health Forsyth Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.