CMS Price Transparency Data

Blood test, vitamin D

Facility: Atrium Health Pineville

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $162
Cash Discount Price: $225
vs. Medicare Baseline: 5.47x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Atrium Health Pineville is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 5.47x the Medicare baseline. Located in 10628 Park Rd, Charlotte, NC.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $225 (760%)

Insurance Median: $162 (547%)

Cash: $225 (760% of Medicare)

Ins. Median: $162 (547% 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 547% of the Medicare baseline (a markup of 447%). 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
Blue Cross Blue Shield	$28 - $175	95%
Choicecare	$30 - $332	101%
Humana	$30	101%
Aetna	$31 - $373	105%
Cigna	$31 - $303	105%
UnitedHealthcare	$31 - $212	105%
Alliance	$37 - $48	125%
Amerihealth Caritas	$37 - $46	125%
Carolina Complete Health	$37 - $46	125%
Healthy Blue	$37 - $46	125%
Ortho Carolina	$37	125%
Partners	$37 - $45	125%
Trillium	$37 - $48	125%
Vaya	$37 - $47	125%
Wellcare	$37 - $46	125%
Medcost	$66 - $269	223%
Ambetter / Centene	$130 - $163	439%
Employers Health Network	$198 - $238	669%
Physician Reach Out	$225	760%
Magellan	$269	909%
Gmmi	$292	986%
Quik Trip	$292	986%
Healthgram	$359	1213%
Provider Select	$364 - $404	1230%
Private Health Care Systems	$368	1243%
First Health	$373	1260%
Beechstreet	$404	1365%
Multiplan	$413	1395%

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 $225.
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 Atrium Health Pineville 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.