CMS Price Transparency Data

Blood test, vitamin B12

Facility: Sampson Regional Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $17
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Sampson Regional Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.13x the Medicare baseline. Located in 607 Beaman St, Clinton, NC.
Cash / Self-Pay
$47

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: $47 (312%)
Insurance Median: $17 (113%)
Cash: $47 (312% 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
Healthy Blue Mcaid - All Plans $13 86%
UnitedHealthcare $13 - $49 86%
Wellcare Mcaid - All Plans $13 86%
Blue Cross Blue Shield $15 - $42 99%
Liberty Adv - All Plans $15 99%
Aetna $16 - $60 106%
Gateway Mcr Adv - All Plans $16 106%
Medicare (plans) $17 113%
Prime/Travelers/Three Rivers - All Plans $17 113%
Medcost - All Plans $52 345%
Cigna $60 398%
Multiplan - All Plans $62 411%
Bc Nc Indemnity Ip/Op Only $67 444%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 607 Beaman St, Clinton, NC 28328
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals