CMS Price Transparency Data

Blood test, amylase

Facility: Veterans Memorial Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $48
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 7.41x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Veterans Memorial Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 7.41x the Medicare baseline. Located in 40 1St Street Se, Waukon, IA.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $63 (972%)
Insurance Median: $48 (741%)
Cash: $63 (972% of Medicare)
Ins. Median: $48 (741% 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 741% of the Medicare baseline (a markup of 641%). 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
Wellmark Hmo - All Other Plans $5 77%
Amerigroup Mcaid - All Other Plans $6 93%
Wellmark Ppo $6 93%
Amerigroup Mcr Adv $48 741%
Humana $48 - $83 741%
Iowa Total Care Exchange $48 741%
Iowa Total Care Mcr Adv $48 741%
Medica Mcr Adv $48 741%
Molina Mcr Adv $48 741%
Quartz Mcr Adv $48 741%
UnitedHealthcare $48 - $94 741%
Welmark Mcr Adv $48 741%
Iowa Total Care Mcaid - All Other Plans $57 880%
Molina Mcaid - All Other Plans $57 880%
Quartz Comm - All Other Plans $83 1281%
Medica Comm - All Other Plans $88 1358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 40 1St Street Se, Waukon, IA 52172
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals