CMS Price Transparency Data

Blood test, vitamin B12

Facility: Tristar Northcrest Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $395
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Tristar Northcrest Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $395. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 100 Northcrest Drive, Springfield, TN.
Cash / Self-Pay
$395

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: $395 (2619%)
Insurance Median: $16 (106%)
Cash: $395 (2619% 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
Wellpoint $7 46%
Aetna $12 - $197 80%
Alive Hospice $15 99%
Amerigroup $15 99%
Bright Health $15 - $17 99%
Devoted Health Plan $15 99%
Healthspring $15 99%
Humana $15 - $60 99%
Molina $15 99%
United $15 - $178 99%
Wellcare $15 - $20 99%
Ambetter / Centene $16 106%
American Health Advantage $16 106%
Blue Cross Blue Shield $16 - $21 106%
Evergreen Hmo $16 106%
Zing $16 106%
Atrio Golden Times $17 113%
Novanet $22 146%
Prime Health $22 146%
Cigna $27 - $116 179%
Oscar $45 298%
Nhc Advantage, Inc. $75 497%
City Of Springfield $257 1704%
Multiplan $308 - $324 2042%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Northcrest Drive, Springfield, TN 37172
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals