CMS Price Transparency Data

Blood test, amylase

Facility: Spanish Peaks Regional Health Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $92
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 14.20x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Spanish Peaks Regional Health Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 14.20x the Medicare baseline. Located in 23500 Us Highway 160, Walsenburg, CO.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $92 (1420%)
Insurance Median: $92 (1420%)
Cash: $92 (1420% of Medicare)
Ins. Median: $92 (1420% 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 1420% of the Medicare baseline (a markup of 1320%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Beacon Health Op Only-All Plans $7 108%
Blue Cross Blue Shield $50 - $92 772%
Humana $50 772%
Medicare (plans) $50 772%
UnitedHealthcare $50 - $95 772%
Devoted Health Mcr - All Plans $52 802%
Apostrophe - All Plans $92 1420%
Cigna $92 1420%
Friday Hp Chp - All Plans $92 1420%
Kaiser Ppo - All Other Plans $92 1420%
Prov Ntwrk Of America - All Plans $92 1420%
Cofinity - All Plans $94 1451%
Connect For Health - All Plans $95 1466%
Rmhp - All Plans $95 1466%
Multiplan Phcs - All Plans $97 1497%
Kaiser Ppo Mcr $102 1574%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 23500 Us Highway 160, Walsenburg, CO 81089
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals