CMS Price Transparency Data

Blood test, calcium

Facility: Novant Health Presbyterian Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $46
Cash Discount Price: $41
vs. Medicare Baseline: 8.91x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Novant Health Presbyterian Medical Center is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 8.91x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.

Cash / Self-Pay

$41

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $41 (795%)

Insurance Median: $46 (891%)

Cash: $41 (795% of Medicare)

Ins. Median: $46 (891% 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 891% of the Medicare baseline (a markup of 791%). 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
Amerihealth	$3 - $23	58%
Blue Cross Blue Shield	$3 - $94	58%
Carolina Complete	$3 - $23	58%
Nc Department Of Public Safety	$3 - $23	58%
UnitedHealthcare	$3 - $76	58%
Wellcare	$3 - $23	58%
Aetna	$5 - $104	97%
Cigna	$5 - $67	97%
Humana	$5 - $94	97%
Liberty Health	$5	97%
Pace Of The Southern Piedmont	$5	97%
Caresource North Carolina	$6 - $43	116%
Atlantic Corporation Dba Atlantic Packaging	$9 - $60	174%
Amps	$10 - $72	194%
Plotkin Health	$11 - $78	213%
Medcost	$13 - $98	252%
Multiplan	$14 - $98	271%
Phcs	$14 - $98	271%
Primary Physician Care	$14 - $96	271%
Employers Choice Network	$18 - $126	349%
Three Rivers Provider Network	$18 - $126	349%

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 $41.
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 Novant Health Presbyterian Medical Center 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.