CMS Price Transparency Data

Blood test, calcium

Facility: Atrium Health Pineville

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $54
Cash Discount Price: $62
vs. Medicare Baseline: 10.47x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Atrium Health Pineville is $54. 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 10.47x the Medicare baseline. Located in 10628 Park Rd, Charlotte, NC.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $54 (1047%)

Cash: $62 (1202% of Medicare)

Ins. Median: $54 (1047% 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 1047% of the Medicare baseline (a markup of 947%). 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	$5 - $103	97%
Cigna	$5 - $83	97%
Humana	$5	97%
UnitedHealthcare	$5 - $58	97%
Alliance	$6 - $13	116%
Amerihealth Caritas	$6 - $13	116%
Carolina Complete Health	$6 - $13	116%
Healthy Blue	$6 - $13	116%
Ortho Carolina	$6	116%
Partners	$6 - $12	116%
Trillium	$6 - $13	116%
Vaya	$6 - $13	116%
Wellcare	$6 - $13	116%
Blue Cross Blue Shield	$9 - $48	174%
Ambetter / Centene	$36 - $45	698%
Employers Health Network	$55 - $66	1066%
Physician Reach Out	$62	1202%
Medcost	$67 - $74	1298%
Magellan	$74	1434%
Gmmi	$80	1550%
Quik Trip	$80	1550%
Choicecare	$89 - $92	1725%
Healthgram	$99	1919%
Provider Select	$100 - $111	1938%
Private Health Care Systems	$101	1957%
First Health	$103	1996%
Beechstreet	$111	2151%
Multiplan	$114	2209%

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 $62.
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 Pineville 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.