CMS Price Transparency Data

Blood test, calcium

Facility: Atrium Health Cleveland

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $60
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 11.63x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Atrium Health Cleveland is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 11.63x the Medicare baseline. Located in 201 E Grover St, Shelby, NC.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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: $62 (1202%)
Insurance Median: $60 (1163%)
Cash: $62 (1202% of Medicare)
Ins. Median: $60 (1163% 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 1163% of the Medicare baseline (a markup of 1063%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $5 - $95 97%
Cigna $5 - $99 97%
Humana $5 97%
UnitedHealthcare $5 - $66 97%
Alliance $6 - $21 116%
Amerihealth Caritas $6 - $17 116%
Carolina Complete Health $6 - $18 116%
Healthy Blue $6 - $18 116%
Partners $6 - $17 116%
Trillium $6 - $18 116%
Vaya $6 - $18 116%
Wellcare $6 - $18 116%
Blue Cross Blue Shield $9 - $51 174%
Ambetter / Centene $39 - $45 756%
Employers Health Network $55 - $66 1066%
Physician Reach Out $62 1202%
Medcost $69 - $82 1337%
Magellan $74 1434%
Gmmi $80 1550%
Quik Trip $80 1550%
Carolina Behavioral Health $89 - $99 1725%
Healthgram $99 1919%
Choicecare $101 1957%
First Health $105 2035%
Lifesynch Community Choice Care $105 2035%
Private Health Care Systems $111 2151%
Beechstreet $114 2209%
Multiplan $117 2267%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 E Grover St, Shelby, NC 28150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals