CMS Price Transparency Data

Blood test, vitamin B12

Facility: Prisma Health Greenville Memorial Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $19
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Prisma Health Greenville Memorial Hospital is $19. 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 1.26x the Medicare baseline. Located in 701 Grove Road, Greenville, SC.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $19 (126%)
Cash: $125 (829% of Medicare)
Ins. Median: $19 (126% 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.

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
Tricare $13 86%
Golden Rule Insurance Company [2991] $14 93%
Oxford Health Plans [2992] $14 93%
UnitedHealthcare $14 - $19 93%
Zzumr-Salt Lake City Ut [3169] $14 93%
Blue Cross Blue Shield $15 - $83 99%
Champva [3049] $15 99%
Cigna $15 - $86 99%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $15 99%
Deseret Mutual Ins Co [3066] $15 99%
Generic Skilled Nursing [3196] $15 99%
Hospice Contracted [1500] $15 99%
Hospice Non Contracted [3190] $15 99%
Humana $15 - $21 99%
Medicare (plans) $15 - $19 99%
Triwest Healthcare Alliance Vcp [902] $15 99%
Va Community Care Network-Vaccn [903] $15 99%
Veterans Administration [3194] $15 99%
Aetna $16 - $152 106%
Healthy Conn Prime-First Choice Vip Care [5300] $16 106%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $16 106%
Healthy Conn Prime-Molina Healthcare [5330] $17 113%
First Choice Benefits Mgmt [3074] $19 126%
Medicaid / KanCare $19 - $20 126%
Workers Comp [600] $21 139%
Ambetter / Centene $28 186%
Prisma Health Seniorcare Pace - Midlands [5400] $45 298%
Prisma Health Seniorcare Pace-Upstate [5200] $45 298%
Bluechoice [810] $50 - $88 332%
Promise Health Plan Contracted [2401] $68 - $116 451%
Scdc-Sc Dept Of Corrections [7232] $68 451%
Orangeburg Senior Helping Center Pace [5401] $77 511%
Planned Administrators [820] $83 550%
Evernorth Behavioral Contracted [2982] $86 570%
Mvp Health Care [3037] $86 570%
Bob Jones Univ-Pai [821] $116 769%
Magellan Behavioral Contracted [3198] $116 769%
Meritain Health Contracted [2200] $124 - $152 822%
Preferred Administrators Contracted [2839] $135 895%
Medcost [2940] $143 - $160 948%
Atlantic Packaging Contracted [4833] $145 962%
Aps Healthcare System [2981] $154 1021%
Multiplan/Phcs Contracted [2950] $172 1141%
Vsp Vision Care [2986] $174 1154%
First Health Contracted [2952] $179 1187%
Furman Int/Allen University Student [2951] $179 1187%
Quiktrip-First Health [3067] $179 1187%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 Grove Road, Greenville, SC 29605
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals