CMS Price Transparency Data

Blood test, vitamin B12

Facility: St Marys Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $22
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at St Marys Medical Center is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 1.46x the Medicare baseline. Located in 2900 1St Avenue, Huntington, WV.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $117 (776%)
Insurance Median: $22 (146%)
Cash: $117 (776% of Medicare)
Ins. Median: $22 (146% 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
Blue Cross Blue Shield $10 - $105 66%
UnitedHealthcare $11 - $111 73%
Medicaid / KanCare $14 93%
The Healthplan $14 93%
Unicare $14 93%
Wellpoint $14 93%
Aetna $15 - $105 99%
Humana $15 99%
Medicare (plans) $15 99%
Peak Health $15 - $100 99%
Peia $15 99%
Caresource $21 - $111 139%
Cigna $107 710%
Firsthealth $111 736%
Healthsmart $111 736%
Phcs Multiplan $111 736%
Zelis Network $111 736%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2900 1St Avenue, Huntington, WV 25702
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals