CMS Price Transparency Data

Blood test, calcium

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $13
Cash Discount Price: $47
vs. Medicare Baseline: 2.52x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Atrium Health Navicent Rehabilitation Hopsital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.52x the Medicare baseline. Located in 3351 Northside Dr, Macon, GA.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)

Cash / Self-Pay: $47 (911%)

Insurance Median: $13 (252%)

Cash: $47 (911% of Medicare)

Ins. Median: $13 (252% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 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 252% of the Medicare baseline (a markup of 152%). 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
UnitedHealthcare	$3 - $18	58%
Aetna	$5 - $65	97%
Alliant	$5 - $6	97%
Blue Cross Blue Shield	$5 - $6	97%
Care Source	$5	97%
Clover	$5	97%
Eon Health	$5	97%
Georgia Health Advantage	$5	97%
Humana	$5 - $64	97%
Pruitt Health	$5	97%
Kaiser	$6 - $19	116%
Cigna	$7 - $14	136%
Ibg	$13 - $66	252%
Securehealth	$13 - $33	252%
Ambetter / Centene	$28 - $47	543%
Multiplan	$60 - $74	1163%
Novanet	$74	1434%
Three Rivers Provider Network	$79	1531%
Beechstreet	$86	1667%

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 $47.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82310.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Navicent Rehabilitation Hopsital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82310.
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.