CMS Price Transparency Data

Blood test, amylase

Facility: Unity Physicians Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $36,351
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5609.72x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Unity Physicians Hospital is $36,351. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 5609.72x the Medicare baseline. Located in 4455 Edison Lakes Pkwy, Mishawaka, IN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$36,351

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%)
Insurance Median: $36,351 (560972%)
Ins. Median: $36,351 (560972% 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 560972% of the Medicare baseline (a markup of 560872%). 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
Blue Cross Blue Shield $6 - $56,407 93%
Medicaid / KanCare $6 93%
Mhs Hoosier Care Connect $6 93%
Nalc $10 - $76,226 154%
Sagamore Health Network $10 - $76,226 154%
Multiplan $11 170%
Multiplan Wc $14 216%
Aarp Supplemental $36,351 560972%
Aetna $36,351 560972%
Cigna $36,351 560972%
Department Of Va $36,351 560972%
Medicare (plans) $36,351 560972%
Mhs Healthy Indiana Plan $36,351 560972%
Railroad Retirement $36,351 560972%
UnitedHealthcare $36,351 - $76,226 560972%
Three Rivers Provider Network $43,621 673164%
Encore $65,431 1009738%
Provider Network Of America $72,702 1121944%
All Savers $76,226 1176327%
Medica $76,226 1176327%
Medica Ifb $76,226 1176327%
Oxford $76,226 1176327%
Humana $100,000 1543210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4455 Edison Lakes Pkwy, Mishawaka, IN 46545
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals