CMS Price Transparency Data

Blood test, amylase

Facility: Mercyone Newton Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $103
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 15.90x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Mercyone Newton Medical Center is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 15.90x the Medicare baseline. Located in 204 N 4Th Ave E, Newton, IA.
Cash / Self-Pay
$76

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $76 (1173%)
Insurance Median: $103 (1590%)
Cash: $76 (1173% of Medicare)
Ins. Median: $103 (1590% 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 1590% of the Medicare baseline (a markup of 1490%). 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
Aetna $6 - $117 93%
Blue Cross Blue Shield $6 93%
Iowa Total Care $6 93%
Medicaid / KanCare $6 93%
Medicare (plans) $6 - $7 93%
UnitedHealthcare $6 - $71 93%
Amish Hospital Aid $9 139%
Centivo $9 139%
Oscar $9 139%
Ambetter / Centene $11 170%
Claimdoc $13 201%
Nova $13 201%
Geha $63 - $71 972%
Newton Correctional Facility $72 - $81 1111%
Health Choices $83 - $94 1281%
Medical Associates $83 - $94 1281%
Health Partners $97 - $110 1497%
Auxiant $101 - $115 1559%
Cigna $101 - $115 1559%
Health Alliance $101 - $115 1559%
Medica $101 - $115 1559%
Midlands $101 - $115 1559%
Midlands Choice $101 - $115 1559%
1199 National Benefit Fund $103 - $117 1590%
Allied Benefit Systems $103 - $117 1590%
Asr Health Benefits $103 - $117 1590%
Christian Brother Services $103 - $117 1590%
Coventry $103 - $117 1590%
First Health $103 - $117 1590%
Lucent Health $103 - $117 1590%
Luminare Health $103 - $117 1590%
Medical Mutual $103 - $117 1590%
Meritain $103 - $117 1590%
Trustmark Small Business Benefits $103 - $117 1590%
Webtpa $103 - $117 1590%
Crime Victim Assistance $110 - $125 1698%
Iowa Dept Of Public Health $110 - $125 1698%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 204 N 4Th Ave E, Newton, IA 50208
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals