CMS Price Transparency Data

Blood test, amylase

Facility: Jefferson County Health Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $56
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 8.64x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Jefferson County Health Center is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 8.64x the Medicare baseline. Located in 2000 S Main, Fairfield, IA.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $62 (957%)
Insurance Median: $56 (864%)
Cash: $62 (957% of Medicare)
Ins. Median: $56 (864% 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 864% of the Medicare baseline (a markup of 764%). 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
UnitedHealthcare $5 - $152 77%
Wellmark Hmo $23 355%
Wellmark Indemnity/Ppo - All Other Plans $26 401%
Tricare $31 - $66 478%
Amerigroup Mcr Adv $32 - $68 494%
Humana $32 - $68 494%
Iowa Total Care Comm - All Other Plans $32 - $68 494%
Iowa Total Care Mcr $32 - $68 494%
Molina Mcr Adv $32 - $68 494%
Iowa Total Care Mcaid $33 - $71 509%
Molina Mcaid/Chip $33 - $71 509%
Medicaid / KanCare $34 - $72 525%
Aetna $39 - $152 602%
Medicare (plans) $39 - $83 602%
Midlands New Product $65 - $139 1003%
Coventry Commercial Hmo $67 - $144 1034%
Coventry Commercial Ppo - All Other Plans $71 - $152 1096%
Midlands Choice-All Other Plans $71 - $152 1096%
Molina Marketplace - All Other Plans $79 - $169 1219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 S Main, Fairfield, IA 52556
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals