CMS Price Transparency Data

Blood test, vitamin B12

Facility: Saint Thomas Highlands Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Saint Thomas Highlands Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 401 Sewell Dr, Sparta, TN.
Cash / Self-Pay
$51

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: $51 (338%)
Insurance Median: $15 (99%)
Cash: $51 (338% 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
Community Plan $11 - $14 73%
Point Comfort Underwriters $14 93%
UnitedHealthcare $14 - $15 93%
Aetna $15 - $88 99%
Amerigroup Mcr Replacement $15 99%
Ascension Complete $15 99%
Blue Cross Blue Shield $15 - $44 99%
Centurion Of Tn $15 99%
Covid Uninsured Test Fund $15 99%
Healthspring Mcr Replacement $15 99%
Humana $15 99%
Medicare (plans) $15 99%
Nhc Advantage $15 99%
Ambetter / Centene $20 133%
Cigna $21 - $59 139%
Oscar Health $21 139%
Smart Health $21 139%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Sewell Dr, Sparta, TN 38583
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals