CMS Price Transparency Data

Blood test, vitamin D

Facility: Carolina East Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $113
Cash Discount Price: $107
vs. Medicare Baseline: 3.82x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Carolina East Medical Center is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.82x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.

Cash / Self-Pay

$107

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $107 (361%)

Insurance Median: $113 (382%)

Cash: $107 (361% of Medicare)

Ins. Median: $113 (382% 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 382% of the Medicare baseline (a markup of 282%). 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
Pamlico Co Jail-All Plans	$28 - $85	95%
Humana	$30	101%
Inclusive Health (Nchirp)-All Plans	$30	101%
Tricare	$30 - $321	101%
Craven Co. Jail Systems - All Plans	$35 - $108	118%
Medcost Ppo Ultra (Employees)	$66 - $201	223%
Medcost Ppo Employees And Retirees	$69 - $211	233%
Blue Cross Blue Shield	$72 - $220	243%
UnitedHealthcare	$74 - $228	250%
Medcost Ppo City Employees	$76 - $234	257%
Medcost Ppo County Employee	$79 - $243	267%
Benefit Mgmt, Svcs-All Plans	$89 - $273	301%
Aetna	$93 - $284	314%
Medcost Benefit Svc-All Other Plans	$93 - $284	314%
Acs Consult Svc Inc-All Plans	$95 - $290	321%
Cigna	$95 - $292	321%
Medcost Ppo Standard	$95 - $290	321%

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 $107.
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 Carolina East 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.