CMS Price Transparency Data

Blood test, vitamin B12

Facility: Tennova Healthcare - Clarksville

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $124
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Tennova Healthcare - Clarksville is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 651 Dunlop Lane, Clarksville, TN.
Cash / Self-Pay
$124

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: $124 (822%)
Insurance Median: $16 (106%)
Cash: $124 (822% 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
UnitedHealthcare $6 - $16 40%
Amerigroup $7 46%
Medicaid / KanCare $10 - $15 66%
Aetna $11 - $15 73%
Node Champva $14 93%
Tricare $14 93%
American Health $15 99%
Humana $15 99%
Medicare (plans) $15 99%
Node Ascension Complete 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%
Node Windsor Mcr Dual $15 99%
Veterans Eval Services $15 99%
Wellcare $15 99%
Node Amerigroup Mcr Adv $16 106%
Node Nhc Mcr Adv $16 106%
Node Us Dept Of Labor $19 126%
Cigna $20 - $23 133%
Corvel $21 139%
Rockport Work Comp Tn $21 139%
Novanet Work Comp Tn $22 146%
Prime Health Work Comp Tn $22 146%
Tn Work Comp $23 153%
Ambetter / Centene $28 186%
Node Valenz Access $30 199%
Naphcare $34 225%
Blue Cross Blue Shield $38 - $114 252%
Oscar $41 272%
Ky Work Comp $121 802%
Self Pay $124 822%
Center Care $415 2752%
Correct Care Solutions $575 3813%
First Health $575 3813%
Multiplan $607 4025%
Phcs $607 4025%
Prime Health Services $607 4025%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 Dunlop Lane, Clarksville, TN 37040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals