CMS Price Transparency Data

Blood test, amylase

Facility: Mc Donough District Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $45
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 6.94x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Mc Donough District Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 6.94x the Medicare baseline. Located in 525 East Grant Street, Macomb, IL.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $33 (509%)
Insurance Median: $45 (694%)
Cash: $33 (509% of Medicare)
Ins. Median: $45 (694% 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 694% of the Medicare baseline (a markup of 594%). 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
Health Alliance $4 - $49 62%
Aetna $6 - $55 93%
Blue Cross Blue Shield $6 - $55 93%
Hfn $6 - $50 93%
Humana $6 - $50 93%
Medicaid / KanCare $6 - $55 93%
Medicare (plans) $6 93%
Meridian $6 93%
Molina $6 - $55 93%
Mutual Medical $6 - $55 93%
Tricare $6 93%
UnitedHealthcare $6 - $50 93%
Veteran Affairs $6 93%
Springfield Health $45 694%
Consociate $47 725%
Trilogy $47 725%
Blue Choice $50 772%
Current Health $50 772%
Healthlink $50 - $52 772%
Preferred Plan $52 802%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 East Grant Street, Macomb, IL 61455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals