CMS Price Transparency Data

Blood test, amylase

Facility: Sartori Memorial Hospital, Inc

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $18
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 2.78x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Sartori Memorial Hospital, Inc is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.78x the Medicare baseline. Located in 515 College Street, Cedar Falls, IA.
Cash / Self-Pay
$54

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: $54 (833%)
Insurance Median: $18 (278%)
Cash: $54 (833% 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
Aetna $6 - $18 93%
Blue Cross Blue Shield $6 93%
Geha $6 93%
Iowa Total Care $6 93%
Medicaid / KanCare $6 93%
Medicare (plans) $6 - $7 93%
UnitedHealthcare $6 - $83 93%
Amish Hospital Aid $9 139%
Oscar $10 154%
Ambetter / Centene $11 170%
Centivo $11 170%
Claimdoc $13 201%
Nova $13 201%
Allied Benefit Systems $18 278%
Asr Health Benefits $18 278%
Coventry $18 278%
First Health $18 278%
Lucent Health $18 278%
Luminare Health $18 278%
Medical Mutual $18 278%
Meritain $18 278%
Webtpa $18 278%
Health Choices $20 309%
Medical Associates $20 309%
Health Partners $27 417%
Auxiant $59 910%
Cigna $59 910%
Medica $59 910%
Midlands $59 910%
Midlands Choice $59 910%
Iowa Dept Of Public Health $83 1281%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals