CMS Price Transparency Data

Blood test, calcium

Facility: Carolina East Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $25
Cash Discount Price: $33
vs. Medicare Baseline: 4.84x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Carolina East Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 4.84x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $33 (640%)

Insurance Median: $25 (484%)

Cash: $33 (640% of Medicare)

Ins. Median: $25 (484% 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 484% of the Medicare baseline (a markup of 384%). 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
Humana	$5	97%
Inclusive Health (Nchirp)-All Plans	$5	97%
Tricare	$5 - $81	97%
Pamlico Co Jail-All Plans	$7 - $22	136%
UnitedHealthcare	$10 - $58	194%
Craven Co. Jail Systems - All Plans	$13 - $27	252%
Medcost Ppo Employees And Retirees	$18 - $53	349%
Medcost Ppo Ultra (Employees)	$18 - $51	349%
Blue Cross Blue Shield	$20 - $56	388%
Medcost Ppo City Employees	$20 - $59	388%
Medcost Ppo County Employee	$21 - $61	407%
Benefit Mgmt, Svcs-All Plans	$24 - $69	465%
Acs Consult Svc Inc-All Plans	$25 - $73	484%
Aetna	$25 - $72	484%
Cigna	$25 - $74	484%
Medcost Benefit Svc-All Other Plans	$25 - $72	484%
Medcost Ppo Standard	$25 - $73	484%

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 $33.
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 Carolina East 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.