CMS Price Transparency Data

Blood test, amylase

Facility: St Marys Good Samaritan Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $20
Cash Discount Price: $47
vs. Medicare Baseline: 3.09x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at St Marys Good Samaritan Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 3.09x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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: $47 (725%)

Insurance Median: $20 (309%)

Cash: $47 (725% of Medicare)

Ins. Median: $20 (309% 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 309% of the Medicare baseline (a markup of 209%). 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
Amerigroup	$8	123%
Blue Cross Blue Shield	$14 - $53	216%
Aetna	$20 - $58	309%
Ambetter / Centene	$20	309%
Care Improvement Plus	$20	309%
Caresource	$20	309%
Cigna	$20 - $60	309%
Coventry	$20 - $55	309%
Eon Health Plan	$20	309%
Humana	$20 - $55	309%
Kaiser Permanente	$20	309%
Molina	$20	309%
Pruitthealth Premier	$20	309%
Todays Options Pffs	$20	309%
Todays Options Ppo	$20	309%
UnitedHealthcare	$20 - $2,632	309%
Vaccn United	$20	309%
Wellcare	$20	309%
First Health	$55	849%
Phcs	$55	849%
Meritain	$58	895%
Multiplan	$62 - $64	957%
Nova	$62 - $66	957%
Three Rivers Provider Network	$66	1019%

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 $47.
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 St Marys Good Samaritan 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.