CMS Price Transparency Data

Blood test, vitamin B12

Facility: Anmed Health

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $165
  • Cash Discount Price: $138
  • vs. Medicare Baseline: 10.94x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Anmed Health is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 10.94x the Medicare baseline. Located in 800 N Fant St, Anderson, SC.
Cash / Self-Pay
$138

Average discount available for prompt cash payment at this facility.

Insurance Median
$165

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: $138 (915%)
Insurance Median: $165 (1094%)
Cash: $138 (915% of Medicare)
Ins. Median: $165 (1094% 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 1094% of the Medicare baseline (a markup of 994%). 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
Aetna $11 73%
Mail Handlers Benefit Plan [327] $11 73%
Rural Carrier Benefit Plan [406] $11 73%
Medicaid / KanCare $19 - $275 126%
Other Hospital Payers [1991] $19 - $275 126%
Absolute Total Care [58] $20 133%
Humana $20 - $198 133%
Select Health Of Sc [637] $20 133%
Planned Administrators [886] $21 - $107 139%
Blue Cross Blue Shield $75 - $261 497%
Employee Benefit Management Services [869] $77 511%
Blue Choice Health Plan [922] $91 - $151 603%
Thomas Cooper & Company [315] $107 710%
Geha [302] $146 968%
Golden Rule Ins Co [584] $146 968%
UnitedHealthcare $146 - $275 968%
Phcs [940] $148 - $242 981%
Cigna $150 - $275 995%
Nalc Health Benefit Plan [291] $150 995%
Medcost [206] $165 - $248 1094%
Preferred Administrators [19] $165 1094%
Coventry Health [245] $198 - $243 1313%
American Continental Ins [778] $275 1824%
American Republic Life Ins [722] $275 1824%
Business Office [6000] $275 1824%
Covid19 Hrsa Uninsured Testing And Treatment Fund [17] $275 1824%
First Health [946] $275 1824%
Guarantee Trust Life Insurance [236] $275 1824%
Home Health Infusion Payer [6001] $275 1824%
Manhattan Life Ins Co [932] $275 1824%
Medicare (plans) $275 1824%
Miscellaneous Commercial [1] $275 1824%
New Era Life Ins Co [437] $275 1824%
Non-Contracted [22] $275 1824%
Physicians Mutual [773] $275 1824%
Reference Based Pricing/Limited Plan [21] $275 1824%
State Farm Ins Co [373] $275 1824%
Sterling Investors Life [244] $275 1824%
Supermed/Med Mutual Of Ohio [539] $275 1824%
United American Ins Co [277] $275 1824%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 N Fant St, Anderson, SC 29621
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals