CMS Price Transparency Data

Blood test, amylase

Facility: Grossmont Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $69
Cash Discount Price: $80
vs. Medicare Baseline: 10.65x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Grossmont Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 10.65x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6.48

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.48 (100%)

Cash / Self-Pay: $80 (1235%)

Insurance Median: $69 (1065%)

Cash: $80 (1235% of Medicare)

Ins. Median: $69 (1065% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.48 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 1065% of the Medicare baseline (a markup of 965%). 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	$1 - $183	15%
Blue Cross Blue Shield	$1 - $183	15%
California Health And Wellness	$1 - $6	15%
Molina	$1 - $183	15%
UnitedHealthcare	$1 - $142	15%
Allianz Global Assistance	$3 - $122	46%
Blue Shield	$3 - $137	46%
Health Net	$4 - $1,659	62%
Epic Americas	$5 - $69	77%
Multiplan	$5 - $133	77%
Cigna	$6 - $1,659	93%
Community Health Group	$6 - $152	93%
Interplan	$6 - $128	93%
Kaiser	$6 - $152	93%
Indian Health Council	$7 - $130	108%
San Diego Pace	$7 - $133	108%
County Medical Services	$8 - $97	123%
Humana	$8 - $152	123%
Medi-Cal	$30 - $128	463%
Managed Health Network	$61 - $69	941%
Medicare (plans)	$69 - $80	1065%

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 $80.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82150.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Grossmont Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82150.
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.