CMS Price Transparency Data

Blood test, amylase

Facility: Decatur Memorial Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $94
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 14.51x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Decatur Memorial Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 14.51x the Medicare baseline. Located in 2300 North Edward Street, Decatur, IL.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $202 (3117%)
Insurance Median: $94 (1451%)
Cash: $202 (3117% of Medicare)
Ins. Median: $94 (1451% 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 1451% of the Medicare baseline (a markup of 1351%). 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
Aetna $6 - $136 93%
Blue Cross Blue Shield $6 - $202 93%
Coventry $6 - $102 93%
Health Alliance $6 - $134 93%
Humana $6 - $131 93%
Medicaid / KanCare $6 93%
Medicare (plans) $6 93%
Tricare $6 93%
UnitedHealthcare $6 - $202 93%
Veterans Administration $6 93%
Wellcare $6 93%
Caterpillar $8 123%
Plain Church Medical Group $9 - $91 139%
Illinois Workers Compensation $34 - $86 525%
Mennonite Churches $71 1096%
Hfn $81 - $152 1250%
Commercial Workers Compensation $82 1265%
Health Alliance Mh Employee Plan $93 1435%
Cigna $94 1451%
6 Degrees Health $121 1867%
Hopetrust $121 1867%
Hst $121 1867%
Phcs Savility $131 2022%
Phcs Multiplan Ppo $137 2114%
Healthlink $139 2145%
Corvel $145 2238%
Consociate $149 2299%
Liability $202 3117%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2300 North Edward Street, Decatur, IL 62526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals