CMS Price Transparency Data

Blood test, amylase

Facility: St Joseph's Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $94
  • Cash Discount Price: $106
  • vs. Medicare Baseline: 14.51x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at St Joseph's Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 14.51x the Medicare baseline. Located in 12866 Troxler Avenue, Highland, IL.
Cash / Self-Pay
$106

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: $106 (1636%)
Insurance Median: $94 (1451%)
Cash: $106 (1636% 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
Meridian Health Plan $9 139%
Molina Healthcare $9 - $29 139%
UnitedHealthcare $13 - $147 201%
Caterpillar, Inc. $13 201%
Cigna $16 247%
Blue Cross Blue Shield $29 448%
Clear Spring Health of Illinois $29 448%
Sae Hospice $29 448%
Humana $29 448%
Aetna $29 - $103 448%
Amish Community $41 633%
Naphcare $62 957%
Celtic Insurance Company $65 1003%
Hopetrust $74 1142%
Claim Doc $74 1142%
Wellfirst $94 1451%
First Health $109 1682%
Healthlink $125 1929%
Multiplan/Phcs $125 1929%
Healthcare Finest Network (Hfn) $132 2037%
Provider Network of America $132 2037%
Consociate Group $147 2269%
Illinois Breast and Cervical Cancer Program $147 2269%
Health Alliance Medical Plans $147 2269%
Qtc Medical Group of Illinois $147 2269%
Interplan $147 2269%
Mental Health Network $147 2269%
Healthscope $147 2269%
Current Health Solutions $147 2269%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12866 Troxler Avenue, Highland, IL 62249
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals