CMS Price Transparency Data

Blood test, amylase

Facility: Mercyone Elkader Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $81
  • Cash Discount Price: $72
  • vs. Medicare Baseline: 12.50x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Mercyone Elkader Medical Center is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 12.50x the Medicare baseline. Located in 901 Davidson Street Nw, Elkader, IA.
Cash / Self-Pay
$72

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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: $72 (1111%)
Insurance Median: $81 (1250%)
Cash: $72 (1111% of Medicare)
Ins. Median: $81 (1250% 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 1250% of the Medicare baseline (a markup of 1150%). 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 - $81 93%
Blue Cross Blue Shield $57 880%
Medicare (plans) $58 - $59 895%
UnitedHealthcare $61 - $82 941%
Iowa Total Care $68 1049%
Medicaid / KanCare $69 - $70 1065%
Amish Hospital Aid $76 1173%
1199 National Benefit Fund $81 1250%
Allied Benefit Systems $81 1250%
Asr Health Benefits $81 1250%
Christian Brother Services $81 1250%
Coventry $81 1250%
First Health $81 1250%
Lucent Health $81 1250%
Luminare Health $81 1250%
Medical Mutual $81 1250%
Meritain $81 1250%
Trustmark Small Business Benefits $81 1250%
Webtpa $81 1250%
Geha $82 1265%
Centivo $86 1327%
Health Choices $88 1358%
Medical Associates $88 1358%
Ambetter / Centene $96 1481%
Health Partners $106 1636%
Auxiant $108 1667%
Cigna $108 1667%
Medica $108 1667%
Midlands $108 1667%
Midlands Choice $108 1667%
Crime Victim Assistance $110 1698%
Iowa Dept Of Public Health $110 1698%
Claimdoc $115 1775%
Nova $115 1775%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 Davidson Street Nw, Elkader, IA 52043
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals