CMS Price Transparency Data

Blood test, amylase

Facility: UW Health

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $111
Cash Discount Price: $52
vs. Medicare Baseline: 17.13x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at UW Health is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 17.13x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $52 (802%)

Insurance Median: $111 (1713%)

Cash: $52 (802% of Medicare)

Ins. Median: $111 (1713% 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 1713% of the Medicare baseline (a markup of 1613%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $159	93%
Blue Cross Blue Shield	$6 - $109	93%
Humana	$6	93%
Medicare (plans)	$6 - $7	93%
Mychoice Wi Medical Adv	$6	93%
UnitedHealthcare	$6 - $10	93%
Quartz Fully Insured	$8	123%
Ecoh	$98 - $173	1512%
Hfn	$98 - $173	1512%
Alliance Premier Network	$106 - $120	1636%
Quartz Aso	$106 - $120	1636%
The Alliance	$136 - $154	2099%
Wps Ppo	$150 - $170	2315%
Cigna	$155 - $175	2392%
Beloit Healt System	$175 - $198	2701%
Mercycare	$181 - $205	2793%
First Health/Coventry	$191 - $216	2948%
Health Payment Systems	$226 - $256	3488%
Healthsmart	$226 - $256	3488%
Sheboygan Employers Health Network	$242 - $274	3735%
Multiplan	$270 - $306	4167%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $52.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82150.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UW Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82150.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.