CMS Price Transparency Data

Blood test, amylase

Facility: Kirby Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $165
  • Cash Discount Price: $198
  • vs. Medicare Baseline: 25.46x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Kirby Medical Center is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 25.46x the Medicare baseline. Located in 1000 Medical Center Drive, Monticello, IL.
Cash / Self-Pay
$198

Average discount available for prompt cash payment at this facility.

Insurance Median
$165

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: $198 (3056%)
Insurance Median: $165 (2546%)
Cash: $198 (3056% of Medicare)
Ins. Median: $165 (2546% 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 2546% of the Medicare baseline (a markup of 2446%). 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
UnitedHealthcare $6 - $227 93%
Aetna $8 - $231 123%
Humana $9 - $248 139%
Blue Cross Blue Shield $25 - $323 386%
Meridian $25 - $102 386%
Molina $26 - $105 401%
Wellcare $102 1574%
Cigna $264 4074%
Catepillar, Inc. $280 4321%
Healthlink $297 4583%
Zelis (Hfn) $297 4583%
Multiplan/Phcs $314 4846%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Medical Center Drive, Monticello, IL 61856
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals