CMS Price Transparency Data

Blood test, vitamin B12

Facility: Caromont Regional Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $25
  • Cash Discount Price: $187
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Caromont Regional Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.66x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$187

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $187 (1240%)
Insurance Median: $25 (166%)
Cash: $187 (1240% of Medicare)
Ins. Median: $25 (166% 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
Avalon $9 60%
UnitedHealthcare $9 - $26 60%
Humana $10 - $165 66%
Blue Cross Blue Shield $15 - $62 99%
Healthteam $15 99%
Absolute Total Care $16 106%
Aetna $16 - $69 106%
Devoted Health $16 106%
Longevity Health $16 106%
Molina $16 106%
Corporate Benefits Service $17 113%
Alliance Behavioral Health $25 166%
Amerihealth Caritas $25 166%
Carolina Complete Health $25 166%
Carolina Complete Health Tailored Plans $25 166%
Partners Behavioral Health $25 166%
Vaya Behavioral Health $25 166%
Wellcare $25 166%
Surgery Plus $26 172%
Cigna $28 - $46 186%
Carolina Caring $38 - $148 252%
Gaston County Jail $49 325%
Medcost $71 471%
Beech Street $153 1015%
Multiplan $153 1015%
Self Pay $168 1114%
First Health Network $178 1180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals