CMS Price Transparency Data

Blood test, amylase

Facility: Madison County Health Care System

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $60
  • Cash Discount Price: $74
  • vs. Medicare Baseline: 9.26x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Madison County Health Care System is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 9.26x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$74

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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: $74 (1142%)
Insurance Median: $60 (926%)
Cash: $74 (1142% of Medicare)
Ins. Median: $60 (926% 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 926% of the Medicare baseline (a markup of 826%). 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
Blue Cross Blue Shield $20 - $23 309%
Aetna $40 - $60 617%
Medical Associates Hp - All Plans $40 617%
Medigold-All Plans $40 617%
Tricare $40 617%
UnitedHealthcare $40 - $83 617%
American Hp Mcr Adv-All Plans $42 648%
Iowa Total Care Mcaid-All Plans $43 664%
Molina Mcaid/Chip -All Plans $45 694%
Amerigroup Mcaid-All Plans $46 710%
Madison County Sheriff-All Plans $46 710%
Oscar - All Plans $59 910%
Corvel Wc-All Plans $83 1281%
Choicecare-All Plans $87 1343%
First Choice-All Plans $87 1343%
First Health-All Plans $87 1343%
Integrated Hp-All Plans $87 1343%
Mutual Of Omaha-All Plans $87 1343%
Plaines Health-All Plans $87 1343%
Preferred Hlth Ntwork-All Plans $87 1343%
Principal Healthcare-All Plans $87 1343%
Usa Managed Care-All Plans $87 1343%
Medimore Employee Hp - All Plans $90 1389%
Midlands Choice - All Plans $90 1389%
Benefit Admin Of America-All Plans $92 1420%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals