CMS Price Transparency Data

Blood test, vitamin B12

Facility: Tristar Ashland City Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $21
  • Cash Discount Price: $1,777
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Tristar Ashland City Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,777. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.39x the Medicare baseline. Located in 313 North Main St, Ashland City, TN.
Cash / Self-Pay
$1,777

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $1,777 (11784%)
Insurance Median: $21 (139%)
Cash: $1,777 (11784% of Medicare)
Ins. Median: $21 (139% 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 - $888 80%
Bright Health $15 - $18 99%
Humana $15 - $444 99%
Sarah Cannon Research $15 99%
United $15 - $800 99%
Ambetter / Centene $16 106%
American Health Advantage $16 106%
Devoted Health Plan $16 106%
Evergreen Hmo $16 106%
Healthspring $16 106%
Wellcare $16 106%
Zing $16 106%
Atrio Golden Times $17 113%
Signature Advantage $17 113%
Blue Cross Blue Shield $21 - $2,000 139%
Corvel Corporation $22 146%
Novanet $22 146%
Prime Health $22 146%
Cigna $27 - $554 179%
Oscar $45 298%
Kentucky Labor Cabinet $327 2168%
Apex Health $338 2241%
Nhc Advantage, Inc. $338 2241%
Pruitt Health (Allyalign) $338 2241%
Amerigroup $551 3654%
Bgfh Singlesource $888 - $1,510 5889%
Multiplan $977 6479%
Southern Health Partners $1,066 7069%
Employers Health Network $1,244 8249%
Odom'S Tn Pride Sausage $1,333 8840%
Beech Street $1,635 10842%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 313 North Main St, Ashland City, TN 37015
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Rural Emergency Hospital