CMS Price Transparency Data

Blood test, amylase

Facility: HSHS St Elizabeth's Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $103
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 15.90x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at HSHS St Elizabeth's Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 15.90x the Medicare baseline. Located in One St Elizabeth Boulevard, O Fallon, IL.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $94 (1451%)
Insurance Median: $103 (1590%)
Cash: $94 (1451% of Medicare)
Ins. Median: $103 (1590% 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 1590% of the Medicare baseline (a markup of 1490%). 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
Meridian Health Plan $4 62%
Molina Healthcare $4 - $7 62%
Aetna $6 - $92 93%
Blue Cross Blue Shield $6 - $130 93%
Clear Spring Health Of Illinois $6 93%
Health Alliance Medical Plans $6 - $110 93%
Health Partners $6 93%
Humana $6 93%
Sae Hospice $6 93%
UnitedHealthcare $6 - $130 93%
Celtic Insurance Company $14 216%
Naphcare $15 231%
Claim Doc $16 247%
Hopetrust $16 247%
Amish Community $36 556%
Wellfirst $84 1296%
First Health $97 1497%
Cigna $103 - $130 1590%
Healthlink $103 - $130 1590%
Caterpillar, Inc. $104 1605%
Consociate Group $114 1759%
Choicecare $117 1806%
Healthcare Finest Network (Hfn) $117 1806%
Multiplan/Phcs $117 1806%
Provider Network Of America $117 1806%
City Of Springfield $130 2006%
Current Health Solutions $130 2006%
Healthscope $130 2006%
Illinois Breast And Cervical Cancer Program $130 2006%
Interplan $130 2006%
Live360 $130 2006%
Wexford $130 2006%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Elizabeth Boulevard, O Fallon, IL 62269
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals