CMS Price Transparency Data

Blood test, amylase

Facility: Northside Hospital Duluth

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $50
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 7.72x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Northside Hospital Duluth is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 7.72x the Medicare baseline. Located in 3620 Howell Ferry Road, Duluth, GA.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $146 (2253%)
Insurance Median: $50 (772%)
Cash: $146 (2253% of Medicare)
Ins. Median: $50 (772% 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 772% of the Medicare baseline (a markup of 672%). 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
Institutional Gwinnett Os100 Discount $3 46%
Institutional Gwinnett Os100 Standard $3 46%
Fairly Group $5 77%
UnitedHealthcare $5 - $50 77%
Aetna $6 - $62 93%
Bccp $6 93%
Blue Cross Blue Shield $6 - $217 93%
Cbww $6 93%
Clear Springs Eon Health $6 93%
Coventry $6 - $212 93%
Humana $6 - $7 93%
Institutional Gwinnett County Govt $6 93%
Medicaid / KanCare $6 - $7 93%
Medicare (plans) $6 - $8 93%
Va Ccn $6 93%
Amerigroup $7 - $54 108%
Caresource $7 - $116 108%
Champus Va $7 108%
Cigna $7 - $197 108%
Clover Health $7 108%
Kaiser $7 - $271 108%
Pruitt Health Premier $7 108%
Tricare $7 108%
Wellcare $7 108%
Ambetter / Centene $8 - $67 123%
Corvel Workers Comp $10 154%
Employers Choice Network $10 154%
Oscar $10 154%
Streamline Imaging $10 154%
Georgia Workers Compensation $11 170%
Us Dept Of Labor Wc $11 170%
Northside Health Network $14 - $94 216%
Georgia Reproductive Specialists $18 - $125 278%
Medlien Healthcare Services $18 - $125 278%
Med Care Solutions $21 - $140 324%
Health One Alliance_Ppo $25 - $172 386%
Quick Trip $25 - $172 386%
Novanet_Ppo $32 - $218 494%
Phcs $34 - $234 525%
Beech Steet $39 - $265 602%
Multiplan $39 - $265 602%
Multiplan Workers Comp $39 - $265 602%
Careiq $46 - $312 710%
Dekalb_Department Of Health $46 - $312 710%
Fifa $46 - $312 710%
Institutional Marietta Surgery Center $46 - $312 710%
Institutional Veterans Evaluation Services $46 - $312 710%
Johnson Ferry Imaging $46 - $312 710%
Marietta Dermatology Clinical Research Inc $46 - $312 710%
Rabun County Boc $46 - $312 710%
West Paces Imaging Agreement $46 - $312 710%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3620 Howell Ferry Road, Duluth, GA 30096
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals