CMS Price Transparency Data

Blood test, amylase

Facility: Warner Hospital and Health Services

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $97
Cash Discount Price: $142
vs. Medicare Baseline: 14.97x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Warner Hospital and Health Services is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 14.97x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $142 (2191%)

Insurance Median: $97 (1497%)

Cash: $142 (2191% of Medicare)

Ins. Median: $97 (1497% 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 1497% of the Medicare baseline (a markup of 1397%). 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	$4 - $200	62%
Blue Cross Blue Shield	$4 - $231	62%
Health Alliance Med Adv	$4 - $97	62%
Humana	$4 - $200	62%
Molina Mcr/Mcd Dual	$4 - $97	62%
UnitedHealthcare	$4 - $200	62%
Wellcare Mcr Adv-All Plans	$4 - $97	62%
City Of Clinton (Employees Serv)-All Plans	$7 - $188	108%
Healthlink Hmo	$7 - $184	108%
Caterpillar-All Plans	$8 - $200	123%
Cigna	$8 - $195	123%
Consociate Care Ppo-All Plans	$8 - $212	123%
Health Alliance-All Other Plans	$8 - $207	123%
Healthlink Ppo/Work Comp-All Other Plans	$8 - $207	123%
Hfn Ppo/Epo-All Plans	$8 - $212	123%
Multiplan Phcs-All Plans	$8 - $200	123%
Three Rivers-All Plans	$9 - $224	139%
Harmony Hp Mcaid-All Plans	$17	262%
Medicaid / KanCare	$17	262%
Meridian Hp-All Plans	$17	262%
Molina-All Other Plans	$17	262%

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 $142.
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 Warner Hospital and Health Services 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.