CMS Price Transparency Data

Blood test, amylase

Facility: Kossuth Regional Health Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $77
Cash Discount Price: $127
vs. Medicare Baseline: 11.88x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Kossuth Regional Health Center is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 11.88x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.

Cash / Self-Pay

$127

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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: $127 (1960%)

Insurance Median: $77 (1188%)

Cash: $127 (1960% of Medicare)

Ins. Median: $77 (1188% 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 1188% of the Medicare baseline (a markup of 1088%). 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
Blue Cross Blue Shield	$6 - $7	93%
Mercy One - All Plans	$28 - $92	432%
Va Ccn - All Plans	$28 - $92	432%
Amerigroup Mcr Adv - All Other Plans	$29 - $94	448%
Humana	$29 - $93	448%
UnitedHealthcare	$29 - $184	448%
Health Partners New Bus - All Other Plans	$52 - $170	802%
Midlands Choice - All Plans	$52 - $170	802%
Medical Associates - All Plans	$64 - $207	988%
Preferred Health - All Plans	$64 - $207	988%
Aetna	$70 - $236	1080%
Multiplan - All Plans	$71 - $231	1096%
Health Partners Exisiting Bus	$73 - $236	1127%
Molina Mcaid/Chip - All Plans	$77 - $249	1188%
Amerigroup Mcaid	$78 - $253	1204%

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 $127.
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 Kossuth Regional Health Center 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.