CMS Price Transparency Data

Blood test, amylase

Facility: St Francis Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $43
  • Cash Discount Price: $159
  • vs. Medicare Baseline: 6.64x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at St Francis Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 6.64x the Medicare baseline. Located in 7Th and Clayton Sts, Wilmington, DE.
Cash / Self-Pay
$159

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $159 (2454%)
Insurance Median: $43 (664%)
Cash: $159 (2454% of Medicare)
Ins. Median: $43 (664% 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 664% of the Medicare baseline (a markup of 564%). 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
Blue Cross Blue Shield $6 - $108 93%
Blue Shield - De (Highmark) Medciare Advantage $6 93%
Highmark Health Options Dual Plan $6 93%
Pace-Trinity Health $6 93%
Saint Francis Life $6 93%
Aetna $7 - $159 108%
Cigna $7 - $151 108%
Medicare (plans) $7 108%
Coventry $8 123%
Delaware First Health $14 216%
Blue Benefit Administrators Of Massachusetts $43 664%
Blue Care Network $43 664%
Blue Distinction Transplant $43 664%
Blue Shield - Ca $43 664%
Blue Shield - Id (Regence) $43 664%
Blue Shield - Ny Highmark Northeastern $43 664%
Blue Shield - Ny Highmark Western $43 664%
Blue Shield - Pa (Highmark) $43 664%
Blue Shield - Wa (Regence) $43 664%
Medicaid / KanCare $85 1312%
Amerihealth $108 1667%
Meritain $159 2454%
Trustmark Small Business Benefits $159 2454%
Devon Health Services $232 3580%
Galaxy Health Network $232 3580%
Multiplan $232 3580%
Prime Health Services $232 3580%
Three Rivers Provider Network $232 3580%
Wc Corvel $232 3580%
Geha $234 3611%
UnitedHealthcare $234 3611%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7Th and Clayton Sts, Wilmington, DE 19805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals