CMS Price Transparency Data

Blood test, amylase

Facility: PAM Rehabilitation Hospital of Dover

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $97
  • Cash Discount Price: $130
  • vs. Medicare Baseline: 14.97x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at PAM Rehabilitation Hospital of Dover is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 14.97x the Medicare baseline. Located in 1240 McKee Rd, Dover, DE.
Cash / Self-Pay
$130

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $130 (2006%)
Insurance Median: $97 (1497%)
Cash: $130 (2006% of Medicare)
Ins. Median: $97 (1497% 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 1497% of the Medicare baseline (a markup of 1397%). 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
Pace (Milford Wellness Village) $6 93%
Americas Choice Provider Network $91 1404%
Provider Network Of America $97 1497%
Quik Trip $97 1497%
Usa Managed Care Organization $97 1497%
Velocity Provider Ppo Network $97 1497%
Multiplan/Phcs $104 1605%
Prime Health Services $110 1698%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1240 McKee Rd, Dover, DE 19904
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL