CMS Price Transparency Data

Blood test, vitamin D

Facility: Atrium Health Lincoln

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $167
Cash Discount Price: $225
vs. Medicare Baseline: 5.64x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Atrium Health Lincoln is $167. 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 5.64x the Medicare baseline. Located in 433 McAlister Rd, Lincolnton, NC.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$167

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: $167 (564%)

Cash: $225 (760% of Medicare)

Ins. Median: $167 (564% 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 564% of the Medicare baseline (a markup of 464%). 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 - $228	95%
Choicecare	$30 - $368	101%
Humana	$30	101%
Aetna	$31 - $382	105%
Cigna	$31 - $303	105%
UnitedHealthcare	$31 - $256	105%
Alliance	$37 - $53	125%
Amerihealth Caritas	$37 - $51	125%
Carolina Complete Health	$37 - $52	125%
Healthy Blue	$37 - $52	125%
Orthocarolina	$37	125%
Partners	$37 - $52	125%
Trillium	$37 - $53	125%
Vaya	$37 - $52	125%
Wellcare	$37 - $52	125%
Ambetter / Centene	$51 - $167	172%
Medcost	$66 - $294	223%
Employers Health Network	$198 - $238	669%
Physician Reach Out	$225	760%
Gmmi	$292	986%
Quik Trip	$292	986%
First Health	$382	1291%
Beechstreet	$404	1365%
Private Health Care Systems	$404	1365%
Multiplan	$427	1443%

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 Lincoln 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.