CMS Price Transparency Data

Blood test, vitamin B12

Facility: Stanly Regional Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $138
  • Cash Discount Price: $159
  • vs. Medicare Baseline: 9.15x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Stanly Regional Medical Center is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 9.15x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$159

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $159 (1054%)
Insurance Median: $138 (915%)
Cash: $159 (1054% of Medicare)
Ins. Median: $138 (915% 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 915% of the Medicare baseline (a markup of 815%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Choicecare $15 - $299 99%
Humana $15 99%
Aetna $16 - $286 106%
Cigna $16 - $254 106%
UnitedHealthcare $16 - $215 106%
Alliance $19 - $39 126%
Amerihealth Caritas $19 - $39 126%
Blue Cross Blue Shield $19 - $164 126%
Carolina Complete Health $19 - $38 126%
Healthy Blue $19 - $38 126%
Partners $19 - $38 126%
Trillium $19 - $40 126%
Vaya $19 - $39 126%
Wellcare $19 - $38 126%
Ambetter / Centene $26 - $118 172%
Medcost $34 - $305 225%
Physician Reach Out $159 1054%
Employers Health Network $168 - $184 1114%
Magellan $191 1267%
Gmmi $207 1373%
Quik Trip $207 1373%
Carolina Behavioral Health $229 - $254 1519%
First Health $286 1897%
Healthgram $286 1897%
Lifesynch Community Choice Care $299 1983%
Multiplan $299 1983%
Private Health Care Systems $299 1983%
Beechstreet $305 2023%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals