CMS Price Transparency Data

Blood test, amylase

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $18
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 2.78x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Atrium Health Navicent Rehabilitation Hopsital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.78x the Medicare baseline. Located in 3351 Northside Dr, Macon, GA.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $94 (1451%)
Insurance Median: $18 (278%)
Cash: $94 (1451% of Medicare)
Ins. Median: $18 (278% 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 278% of the Medicare baseline (a markup of 178%). 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
UnitedHealthcare $4 - $23 62%
Aetna $6 - $132 93%
Alliant $6 - $8 93%
Blue Cross Blue Shield $6 - $8 93%
Georgia Health Advantage $6 93%
Humana $6 - $129 93%
Pruitt Health $6 93%
Care Source $7 108%
Clover $7 108%
Eon Health $7 108%
Kaiser $7 - $23 108%
Cigna $9 - $17 139%
Ibg $16 - $133 247%
Securehealth $16 - $66 247%
Ambetter / Centene $56 - $96 864%
Multiplan $122 - $150 1883%
Novanet $150 2315%
Three Rivers Provider Network $160 2469%
Beechstreet $175 2701%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3351 Northside Dr, Macon, GA 31210
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL