CMS Price Transparency Data

Blood test, amylase

Facility: Gunnison Valley Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $85
Cash Discount Price: $87
vs. Medicare Baseline: 13.12x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Gunnison Valley Hospital is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 13.12x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$87

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

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: $87 (1343%)

Insurance Median: $85 (1312%)

Cash: $87 (1343% of Medicare)

Ins. Median: $85 (1312% 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 1312% of the Medicare baseline (a markup of 1212%). 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
Medicaid / KanCare	$6	93%
Medicare (plans)	$50	772%
Gunnison County Coroner Op Only	$53	818%
Gunnison County Sheriff Op & Profee Only	$53	818%
Ebms Hdhp	$61	941%
Tetwp Op & Profee Only-All Plans	$61	941%
U Of Co Transplant-All Plans	$61	941%
Ebms Ppo Plan-All Other Plans	$72	1111%
Gunnison County Employees-All Other Plans	$82	1265%
Scottish Rites-All Plans	$82	1265%
Elap Employers-All Plans	$87	1343%
Blue Cross Blue Shield	$90	1389%
Apostrophe-All Plans	$92	1420%
Multiplan-All Plans	$95	1466%
Rocky Mountain Health-All Plans	$97	1497%
UnitedHealthcare	$97	1497%
Aetna	$98	1512%
Cofinity-All Plans	$98	1512%
Cigna	$100	1543%

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 $87.
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 Gunnison Valley 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.