CMS Price Transparency Data

Blood test, vitamin B12

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $232
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 15.38x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Atlanticare Regional Medical Center - City Campus is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 15.38x the Medicare baseline. Located in 1925 Pacific Avenue, Atlantic City, NJ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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%)
Insurance Median: $232 (1538%)
Ins. Median: $232 (1538% 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 1538% of the Medicare baseline (a markup of 1438%). 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
Ambetter / Centene $2 13%
Devoted Health Plan $15 - $159 99%
Oxford $15 - $238 99%
UnitedHealthcare $15 - $226 99%
Global Exchange Managed Care $23 153%
Health Partners Plan $30 - $80 199%
Horizon $44 - $223 292%
Self Pay $48 318%
Magnacare $127 - $286 842%
Cigna $133 - $160 882%
Evernorth $159 1054%
Qualcare Commercial $159 1054%
Great West Life $160 1061%
Aetna $183 - $263 1214%
Amerihealth $204 - $267 1353%
Active Care Plus $207 1373%
First Mco $207 1373%
Mutual Of Omaha $207 1373%
Qualcare Wc $207 1373%
Consumer Health Network (Chn) $223 - $286 1479%
Donio Trucking $223 1479%
Devon/ Ullicare $238 1578%
Coventry Health Care $254 1684%
Private Healthcare System (Phcs) $254 1684%
Blue Cross Blue Shield $262 1737%
Health Payors Org $270 1790%
Health South $270 1790%
Metrahealth Of Nj $270 1790%
Prime Health Services $270 1790%
Three Rivers Provider Network (Trpn) $270 1790%
Active Care Nj Pip $286 1897%
Beech Street $286 1897%
Choice Care $286 1897%
Department Of Corrections $286 1897%
Galaxy Health Network $286 1897%
Health Network Inc $286 1897%
Intergroup Preferred Program $286 1897%
Mcs Commercial $286 1897%
Metracomp $286 1897%
Multiplan $286 1897%
Provider Select, Inc $286 1897%
Atlantis Health Plan $294 1950%
Master Care Inc $294 1950%
Advance Healthcare System $302 2003%
Community Care Network $302 2003%
Health Network America $302 2003%
Mcsi/Mrsi No Fault $302 2003%
Mcsi/Mrsi Worker'S Comp $302 2003%
National Health Plan $302 2003%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1925 Pacific Avenue, Atlantic City, NJ 08401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals