CMS Price Transparency Data

Blood test, amylase

Facility: Boone County Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $17
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 2.62x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Boone County Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.62x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $29 (448%)
Insurance Median: $17 (262%)
Cash: $29 (448% of Medicare)
Ins. Median: $17 (262% 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 262% of the Medicare baseline (a markup of 162%). 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
Va Ccn-All Plans $2 - $5 31%
Aetna $5 - $56 77%
Amerigroup Mcr Adv - All Other Plans $5 - $30 77%
Choice Care Mcr Adv - All Plans $5 - $30 77%
Humana $5 - $65 77%
Iowa Hlth Adv - All Plans $5 - $30 77%
Iowa Total Care Mcaid - All Plans $5 - $33 77%
Medicaid / KanCare $5 - $34 77%
Meridian Mcaid - All Plans $5 - $33 77%
Mt Carmel Hp - All Plans $5 - $30 77%
UnitedHealthcare $5 - $42 77%
Tricare $6 93%
Healthsmart Accell Network $8 - $51 123%
Medical Associates Hp-All Plans $8 - $54 123%
Healthsmart Ppo - All Other Plans $9 - $58 139%
Health Alliance-All Plans $10 - $65 154%
Midlands Choice-All Plans $10 - $67 154%
Mutually Preferred-All Plans $10 - $69 154%
Wellmark Hmo $23 355%
Wellmark Ppo - All Other Plans $25 386%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals