CMS Price Transparency Data
Blood test, amylase
Facility: Saint Joseph Regional Medical Center - Plymouth
Billing Code: 82150 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82150
- Insurance Median: $95
- Cash Discount Price: $90
- vs. Medicare Baseline: 14.66x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Saint Joseph Regional Medical Center - Plymouth is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 14.66x the Medicare baseline. Located in 1915 Lake Ave, Plymouth, IN.
Cash / Self-Pay
$90
Average discount available for prompt cash payment at this facility.
Insurance Median
$95
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: $90 (1389%)
Insurance Median: $95 (1466%)
Cash: $90 (1389% of Medicare)
Ins. Median: $95 (1466% 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 1466% of the Medicare baseline (a markup of 1366%). 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.
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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 - $78 | 62% |
| Blue Cross Blue Shield | $4 - $13 | 62% |
| Medicaid / KanCare | $4 - $6 | 62% |
| UnitedHealthcare | $4 - $101 | 62% |
| Managed Health Services - Indiana | $6 | 93% |
| Mdwise | $6 | 93% |
| Medicare (plans) | $6 - $7 | 93% |
| Meridian Complete | $6 | 93% |
| Pace-Trinity Health | $6 | 93% |
| County Coroner | $7 | 108% |
| Provider Partners Health Plan Of Indiana | $7 | 108% |
| Bureau Of Disability | $9 | 139% |
| Auxiant | $10 - $132 | 154% |
| Caresource | $10 | 154% |
| Physicians Health Plan Northern Indiana Health Insurance | $10 - $20 | 154% |
| Siho Insurance Services | $10 | 154% |
| St Joseph County Hlth Dpt | $10 | 154% |
| Allied Benefit Systems | $12 - $103 | 185% |
| Key Benefit Administrator | $12 - $111 | 185% |
| Blue Benefit Administrators Of Massachusetts | $13 | 201% |
| Blue Care Network | $13 | 201% |
| Blue Distinction Transplant | $13 | 201% |
| Blue Shield - Ca | $13 | 201% |
| Blue Shield - Id (Regence) | $13 | 201% |
| Blue Shield - Ny Highmark Northeastern | $13 | 201% |
| Blue Shield - Ny Highmark Western | $13 | 201% |
| Blue Shield - Pa (Highmark) | $13 | 201% |
| Blue Shield - Wa (Regence) | $13 | 201% |
| Custom Design Benefits | $14 | 216% |
| Plain Church Group | $36 - $43 | 556% |
| Asr Health Benefits | $64 - $78 | 988% |
| Christian Brother Services | $64 - $78 | 988% |
| Employee Benefit Management | $64 - $78 | 988% |
| Medical Mutual | $64 - $78 | 988% |
| Meritain | $64 - $78 | 988% |
| Preferred One | $64 - $78 | 988% |
| Rural Carrier Health Benefit Plan | $64 - $78 | 988% |
| Webtpa | $64 - $78 | 988% |
| Notre Dame Athletic Association | $73 - $87 | 1127% |
| Wc Notre Dame | $73 - $87 | 1127% |
| Luminare Health (Detroit) | $75 - $95 | 1157% |
| Ameriben | $79 - $95 | 1219% |
| Geha | $84 - $101 | 1296% |
| Healthscope | $84 - $101 | 1296% |
| Student Insurance Cma | $84 - $101 | 1296% |
| Encore Health | $93 - $111 | 1435% |
| Indiana Criminal Justice Inst | $93 - $111 | 1435% |
| Western & Southern Financial Group | $93 - $111 | 1435% |
| Cigna | $95 - $114 | 1466% |
| Group Administrators | $95 - $114 | 1466% |
| Health Partners | $95 - $114 | 1466% |
| Mvp | $95 - $114 | 1466% |
| Prairie States | $95 - $114 | 1466% |
| Priority Health | $95 - $114 | 1466% |
| Professional Benefit Administrators | $95 - $114 | 1466% |
| Sagamore Health Network | $95 - $122 | 1466% |
| Sisco Benefits | $95 - $114 | 1466% |
| Unified Group Services | $95 - $114 | 1466% |
| Goshen Preferred Network | $102 - $137 | 1574% |
| Signature Care | $110 - $132 | 1698% |
| Allied National Global Care | $119 - $143 | 1836% |
| Asrm - Reliance Standard Life Insurance | $119 - $143 | 1836% |
| Avmed Health Plan | $119 - $143 | 1836% |
| Christian Care Ministry | $119 - $143 | 1836% |
| Dean Health | $119 - $143 | 1836% |
| Fallon Health | $119 - $143 | 1836% |
| Family Life Insurance Company | $119 - $143 | 1836% |
| Freedom Life Insurance Company | $119 - $143 | 1836% |
| Ghc Scw | $119 - $143 | 1836% |
| International Benefit Administrators | $119 - $143 | 1836% |
| Lifetime Benefit Solutions | $119 - $143 | 1836% |
| Manhattan Life | $119 - $143 | 1836% |
| Medi Share | $119 - $143 | 1836% |
| Multiplan | $119 - $143 | 1836% |
| Pai | $119 - $143 | 1836% |
| Pan-American Life | $119 - $143 | 1836% |
| Paramount Hmo | $119 - $143 | 1836% |
| Phcs | $119 - $143 | 1836% |
| Philadelphia American Life Insurance | $119 - $143 | 1836% |
| Trinity Health Share | $119 - $143 | 1836% |
| Bankers Life Casualty | $132 - $159 | 2037% |
| Wc Align Network | $132 - $159 | 2037% |