CMS Price Transparency Data

Blood test, vitamin B12

Facility: North Carolina Baptist Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $30
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at North Carolina Baptist Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.99x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $44 (292%)
Insurance Median: $30 (199%)
Cash: $44 (292% of Medicare)
Ins. Median: $30 (199% 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
Aetna $15 - $77 99%
Apex $15 99%
Blue Cross Blue Shield $15 - $34 99%
Cigna $15 - $55 99%
Devoted $15 99%
Healthteam $15 99%
Humana $15 - $50 99%
Medicare (plans) $15 99%
UnitedHealthcare $15 - $31 99%
Wellcare $15 - $28 99%
Liberty $17 113%
Medcost $17 - $61 113%
Ambetter / Centene $19 - $21 126%
Amerihealth $20 - $27 133%
Oscar $26 - $33 172%
Carolina Complete $27 179%
Health Blue $27 179%
Partners $27 179%
Alliance $28 186%
Trillium $28 186%
Vaya $28 186%
Directnet $51 - $54 338%
Cone Health $60 - $64 398%
Healthgram $60 - $64 398%
First Carolina Care $69 - $73 458%
Private Healthcare Systems $71 - $75 471%
Multiplan $77 - $82 511%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals