CMS Price Transparency Data

Blood test, vitamin B12

Facility: Hawkins County Memorial Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Hawkins County Memorial Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 851 Locust Street, Rogersville, TN.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $26 (172%)
Insurance Median: $16 (106%)
Cash: $26 (172% of Medicare)
Ins. Median: $16 (106% 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
Amerigroup $8 - $16 53%
UnitedHealthcare $11 - $16 73%
Aetna $15 - $75 99%
Blue Cross Blue Shield $15 - $67 99%
Humana $15 99%
Managed Medicaire $15 99%
Medicare (plans) $15 99%
Sentara Health $15 - $45 99%
United Mine Workers Of America $15 99%
Cigna $16 - $61 106%
Devoted Health Plan $16 106%
Molina Healthcare $16 106%
Mountain Empire Pace $16 106%
Nhc Advantage $16 106%
Optima Health $16 106%
Wellcare $16 - $176 106%
Ambetter / Centene $33 219%
Medcost $84 557%
First Health Coventry $158 1048%
Seven Corners, Inc. $176 1167%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 851 Locust Street, Rogersville, TN 37857
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals