CMS Price Transparency Data

Blood test, vitamin B12

Facility: Atrium Health Union

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $115
Cash Discount Price: $159
vs. Medicare Baseline: 7.63x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Atrium Health Union is $115. 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 7.63x the Medicare baseline. Located in 600 Hospital Dr, Monroe, NC.

Cash / Self-Pay

$159

Average discount available for prompt cash payment at this facility.

Insurance Median

$115

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: $115 (763%)

Cash: $159 (1054% of Medicare)

Ins. Median: $115 (763% 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 763% of the Medicare baseline (a markup of 663%). 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
Blue Cross Blue Shield	$14 - $118	93%
Choicecare	$15 - $270	99%
Humana	$15	99%
Aetna	$16 - $194	106%
Cigna	$16 - $214	106%
UnitedHealthcare	$16 - $151	106%
Alliance	$19 - $49	126%
Amerihealth Caritas	$19 - $42	126%
Carolina Complete Health	$19 - $42	126%
Healthy Blue	$19 - $42	126%
Ortho Carolina	$19	126%
Partners	$19 - $41	126%
Trillium	$19 - $44	126%
Vaya	$19 - $43	126%
Wellcare	$19 - $42	126%
Medcost	$34 - $207	225%
Ambetter / Centene	$95 - $115	630%
Employers Health Network	$140 - $168	928%
Magellan	$191	1267%
Gmmi	$207	1373%
Quik Trip	$207	1373%
Healthgram	$254	1684%
First Health	$270	1790%
Beechstreet	$286	1897%
Private Health Care Systems	$286	1897%
Provider Select	$286	1897%
Multiplan	$302	2003%

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 $159.
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 Atrium Health Union 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.