CMS Price Transparency Data

Blood test, vitamin B12

Facility: Lafollette Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $100
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Lafollette Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$100

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $100 (663%)
Insurance Median: $15 (99%)
Cash: $100 (663% of Medicare)
Ins. Median: $15 (99% 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 $7 46%
Medicaid / KanCare $8 - $15 53%
UnitedHealthcare $8 - $333 53%
Node Champva $14 93%
Tricare $14 93%
Aetna $15 - $207 99%
Blue Cross Blue Shield $15 - $64 99%
Humana $15 99%
Medicare (plans) $15 99%
Node Blueadvantage Mcr Adv $15 99%
Node Bluecare Plus Tn Mcr Adv $15 99%
Node Devoted Health Mcr Adv $15 99%
Node Farm Bureau Mcr Adv $15 99%
Node Healthspring Mcr Adv $15 99%
Node Hospice Non Par Agree $15 99%
Node Va $15 99%
Node Wellcare Mcr Adv $15 99%
Triwest $15 99%
Veterans Eval Services $15 99%
Wellcare $15 99%
Node Amerigroup Mcr Adv $16 106%
Node Nhc Mcr Adv $16 106%
Windsor Health Plan $16 106%
Node Us Dept Of Labor $19 126%
Novanet Work Comp Tn $22 146%
Cigna $23 153%
Tn Work Comp $23 153%
Ambetter / Centene $28 186%
Bluecare $32 - $36 212%
Node Point Comfort Underwriters $33 219%
Self Pay $96 637%
Multiplan Complementary $253 1678%
Beech Street Work Comp Tn $2,239 14847%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals