CMS Price Transparency Data

Blood test, vitamin D

Facility: Novant Health Presbyterian Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $115
Cash Discount Price: $149
vs. Medicare Baseline: 3.89x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Novant Health Presbyterian Medical Center is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.89x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.

Cash / Self-Pay

$149

Average discount available for prompt cash payment at this facility.

Insurance Median

$115

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)

Cash / Self-Pay: $149 (503%)

Insurance Median: $115 (389%)

Cash: $149 (503% of Medicare)

Ins. Median: $115 (389% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.6 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 389% of the Medicare baseline (a markup of 289%). 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
Carolina Complete	$27 - $76	91%
Nc Department Of Public Safety	$27 - $76	91%
Amerihealth	$28 - $78	95%
Blue Cross Blue Shield	$28 - $316	95%
UnitedHealthcare	$28 - $256	95%
Wellcare	$28 - $78	95%
Aetna	$30 - $351	101%
Cigna	$30 - $226	101%
Humana	$30 - $316	101%
Pace Of The Southern Piedmont	$30	101%
Liberty Health	$31	105%
Caresource North Carolina	$51 - $145	172%
Atlantic Corporation Dba Atlantic Packaging	$71 - $202	240%
Amps	$85 - $241	287%
Plotkin Health	$93 - $263	314%
Medcost	$110 - $329	372%
Primary Physician Care	$115 - $325	389%
Multiplan	$116 - $329	392%
Phcs	$116 - $329	392%
Employers Choice Network	$150 - $426	507%
Three Rivers Provider Network	$150 - $426	507%

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 $149.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82306.

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 82306.
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.