CMS Price Transparency Data

Blood test, amylase

Facility: East Morgan County Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $42
Cash Discount Price: $32
vs. Medicare Baseline: 6.48x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at East Morgan County Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 6.48x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $32 (494%)

Insurance Median: $42 (648%)

Cash: $32 (494% of Medicare)

Ins. Median: $42 (648% 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 648% of the Medicare baseline (a markup of 548%). 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
Pinnacol Assurance Workers Comp	$8 - $144	123%
Aetna	$9 - $317	139%
Banner Health	$9 - $147	139%
Blue Cross Blue Shield	$9 - $257	139%
Clear Spring Health	$9 - $147	139%
Devoted Health Services	$9 - $161	139%
Healthspring Life & Health Insurance Company, Inc.	$9 - $147	139%
Humana	$9 - $155	139%
Longevity	$9 - $151	139%
Medica	$9 - $284	139%
Medicare (plans)	$9 - $147	139%
Triwest Healthcare Alliance Corp - Va Ccn	$9 - $147	139%
UnitedHealthcare	$9 - $317	139%
Assist Health Group	$10 - $176	154%
Denver Health Medical Plan	$16 - $273	247%
Apostrophe, Inc.	$18 - $307	278%
First Choice Health Network	$18 - $307	278%
Hue Health, Inc	$19 - $324	293%
Multiplan	$19 - $331	293%
Rocky Mountain Health Plans	$19 - $324	293%

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 $32.
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 East Morgan County 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.