CMS Price Transparency Data

Blood test, vitamin B12

Facility: Charleston Area Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $215
Cash Discount Price: $261
vs. Medicare Baseline: 14.26x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Charleston Area Medical Center is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 14.26x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$261

Average discount available for prompt cash payment at this facility.

Insurance Median

$215

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: $261 (1731%)

Insurance Median: $215 (1426%)

Cash: $261 (1731% of Medicare)

Ins. Median: $215 (1426% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1426% of the Medicare baseline (a markup of 1326%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$14 - $277	93%
The Health Plan Of West Virginia Inc.	$14 - $275	93%
Unicare Health Plan Of West Virginia Inc.	$14	93%
Blue Cross Blue Shield	$15 - $258	99%
Choicecare Network	$15 - $277	99%
Optimum Choice Inc.	$15	99%
Triwest Va	$15	99%
UnitedHealthcare	$16 - $277	106%
West Virginia Senior Advantage Inc.	$16	106%
Integrated Medical Solutions	$29	192%
Naphcare	$30	199%
Caresource	$38	252%
Tricare	$143 - $170	948%
City Of Charleston	$179 - $212	1187%
Cigna	$222 - $263	1472%
Three Rivers Providers Network	$232 - $275	1538%
Healthsmart	$234 - $277	1552%
Multiplan	$234 - $277	1552%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $261.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Charleston Area Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82607.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.