CMS Price Transparency Data

Blood test, vitamin B12

Facility: Fort Loudoun Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $16
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Fort Loudoun Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.06x the Medicare baseline. Located in 550 Fort Loudon Medical Center Dr, Lenoir City, TN.
Cash / Self-Pay
$49

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: $49 (325%)
Insurance Median: $16 (106%)
Cash: $49 (325% 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 - $16 46%
UnitedHealthcare $10 - $16 66%
Tricare $15 99%
Aetna $16 - $22 106%
Blue Cross Blue Shield $16 - $32 106%
Cigna $16 - $33 106%
Devoted Health $16 106%
Farm Bureau $16 106%
Humana $16 106%
Wellcare $16 106%
Ehn $68 451%
Correctional Medical Services $91 603%
Community Services Network $99 656%
Usa Managed Care Organization $106 703%
Novanet $114 756%
Direct Care America $122 809%
Medsave Usa $122 809%
National Provider Network $122 809%
Beech Street $129 855%
Ccn Managed Care $129 855%
Initial Group $134 889%
Galaxy Health Network $137 908%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 Fort Loudon Medical Center Dr, Lenoir City, TN 37772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals