CMS Price Transparency Data

Blood test, amylase

Facility: Franklin General Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $51
Cash Discount Price: $104
vs. Medicare Baseline: 7.87x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Franklin General Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 7.87x the Medicare baseline. Located in 1720 Central Avenue East, Hampton, IA.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $104 (1605%)

Insurance Median: $51 (787%)

Cash: $104 (1605% of Medicare)

Ins. Median: $51 (787% 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 787% of the Medicare baseline (a markup of 687%). 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
UnitedHealthcare	$7 - $100	108%
Wellmark Hmo	$20	309%
Wellmark Ppo - All Other Plans	$23	355%
Medical Associates Mcare	$44 - $48	679%
Mount Carmel Hp-All Plans	$44 - $48	679%
Tricare	$44 - $48	679%
Amerigroup Mcare	$45 - $48	694%
Wellmark Mcr Adv	$45 - $48	694%
Ambetter / Centene	$46 - $77	710%
Molina Mcare	$46 - $50	710%
American Hp Iowa - All Plans	$47 - $50	725%
Amerigroup Mcaid - All Other Plans	$47 - $51	725%
Molina Mcaid - All Other Plans	$47 - $51	725%
Centivo - All Plans	$67 - $72	1034%
Medical Ass Hosp Employer Group	$67 - $72	1034%
Oscar - All Plans	$67 - $72	1034%
Midlands Choice-All Plans	$78 - $84	1204%
Medical Associates Hp-All Other Plans	$94 - $102	1451%
Preferred Health Choices-All Plans	$94 - $102	1451%
Splashlight Llc-All Plans	$94 - $102	1451%
Aetna	$103 - $114	1590%
Multiplan-All Plans	$105 - $114	1620%

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 $104.
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 Franklin General 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.