CMS Price Transparency Data

Blood test, amylase

Facility: Northwest Health - Porter

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $16
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 2.47x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Northwest Health - Porter is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.47x the Medicare baseline. Located in 85 East Us Hwy 6, Valparaiso, IN.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $88 (1358%)
Insurance Median: $16 (247%)
Cash: $88 (1358% of Medicare)
Ins. Median: $16 (247% 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 247% of the Medicare baseline (a markup of 147%). 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
Blue Cross Blue Shield $3 - $10 46%
Aetna $6 - $141 93%
Caresource $6 93%
Healthy Indiana Plan $6 93%
Humana $6 93%
Managed Health Services $6 - $13 93%
Medicaid / KanCare $6 93%
Medicare (plans) $6 - $7 93%
Mhs $6 93%
Node Devoted Health Mcr Adv $6 93%
Node Hospice Non Par Agree $6 93%
Node Mhs Mcr Adv $6 93%
Node Va $6 93%
Tricare $6 93%
UnitedHealthcare $6 - $39 93%
Veterans Eval Services $6 93%
Care Improvement Plus $7 108%
In Dept Of Correction $7 108%
Node Us Dept Of Labor $8 123%
Align Network $10 154%
One Call Work Comp $10 154%
Encore Health $12 - $222 185%
Prime Health $12 - $208 185%
Indiana Work Comp $13 201%
Lutheran Preferred $13 - $167 201%
Magnacare Ma $16 247%
Node Encore Kba Epo $16 247%
Porter County $16 247%
Preferred Network Access $16 247%
Lutheran Preferred Chs Employees $67 1034%
Self Pay $75 - $100 1157%
Cigna $77 1188%
Physicians Health Plan $107 1651%
Php Freedom $115 1775%
Sagamore Health Network $123 - $165 1898%
First Health Coventry $136 2099%
Encore Ppo $139 2145%
Southeastem Indiana Health Operations $195 - $208 3009%
Network Synergy Group $208 3210%
Multiplan/Phcs $234 3611%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 85 East Us Hwy 6, Valparaiso, IN 46383
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals