CMS Price Transparency Data

Blood test, vitamin B12

Facility: Blount Memorial Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $28
Cash Discount Price: $50
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Blount Memorial Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.86x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $50 (332%)

Insurance Median: $28 (186%)

Cash: $50 (332% of Medicare)

Ins. Median: $28 (186% 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.

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
Medicaid / KanCare	$6 - $20	40%
Golden Rule Insurance Company [2991]	$9	60%
Oxford Health Plans [2992]	$9	60%
UnitedHealthcare	$9 - $19	60%
Cigna	$12 - $20	80%
Mvp Health Care [3037]	$12	80%
Tricare	$13	86%
Blue Cross Blue Shield	$15 - $77	99%
Humana	$15	99%
Medicare (plans)	$15 - $16	99%
Ambetter / Centene	$23	153%
Consociate Health Contracted [4835]	$33	219%
Fairos/Occunet Contracted [4837]	$35	232%
Prisma Health Seniorcare Pace - Midlands [5400]	$38	252%
Prisma Health Seniorcare Pace-Upstate [5200]	$38	252%
Promise Health Plan Contracted [2401]	$57 - $97	378%
Orangeburg Senior Helping Center Pace [5401]	$65	431%
Bob Jones Univ-Pai [821]	$97	643%
Preferred Administrators Contracted [2839]	$113	749%
Medcost [2940]	$120 - $134	796%
Atlantic Packaging Contracted [4833]	$122	809%
Aps Healthcare System [2981]	$130	862%
Multiplan/Phcs Contracted [2950]	$144	955%
Aetna	$146	968%
Meritain Health Contracted [2200]	$146	968%
Nippon [2300]	$146	968%
Vsp Vision Care [2986]	$146	968%
First Health Contracted [2952]	$151	1001%
Furman Int/Allen University Student [2951]	$151	1001%
Quiktrip-First Health [3067]	$151	1001%

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 $50.
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 Blount Memorial Hospital 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.