CMS Price Transparency Data

Blood test, vitamin B12

Facility: Prisma Health Greer Memorial Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $47
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 3.12x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Prisma Health Greer Memorial Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 3.12x the Medicare baseline. Located in 1413 John B White Sr Blvd Suite D, Spartanburg, SC.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $125 (829%)
Insurance Median: $47 (312%)
Cash: $125 (829% of Medicare)
Ins. Median: $47 (312% 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 312% of the Medicare baseline (a markup of 212%). 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
Humana $13 - $21 86%
Tricare $13 86%
UnitedHealthcare $14 - $16 93%
Blue Choice Healthplan Of Sc $15 - $19 99%
Blue Cross Blue Shield $15 - $79 99%
Choicecare Network $15 - $164 99%
Medicare (plans) $15 - $58 99%
Veterans Administration $15 99%
Absolute Total Care Prime $16 106%
Aetna $16 - $170 106%
Cigna $16 - $154 106%
Liberty Advantage $16 106%
Molina $16 - $20 106%
Select Health $16 - $20 106%
Windsor Health Plan $16 106%
Bluechoice Healthplan Of Sc $17 - $83 113%
Medicaid / KanCare $17 - $20 113%
Sc Workers Compensation $21 139%
Wellpath Select Inc $21 139%
Celtic Insurance Company $26 172%
Prisma Health Seniorcare Pace-Upstate $47 312%
Promise Health Plan $96 637%
Value Options $96 637%
Preferred Care, Inc $135 895%
Chp Direct Supermed Network $139 922%
Medcost $143 948%
Atlantic Packaging $145 962%
Aps Healthcare Bethesda Inc $154 1021%
Medcost Preferred $158 1048%
Multiplan $172 1141%
Companion Benefit Alternatives $193 1280%
Miscellaneous $193 1280%
Self Pay $193 1280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1413 John B White Sr Blvd Suite D, Spartanburg, SC 29306
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals