CMS Price Transparency Data

Blood test, amylase

Facility: St Claire Regional Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $76
Cash Discount Price: $82
vs. Medicare Baseline: 11.73x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at St Claire Regional Medical Center is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 11.73x the Medicare baseline. Located in 222 Medical Circle, Morehead, KY.

Cash / Self-Pay

$82

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $82 (1265%)

Insurance Median: $76 (1173%)

Cash: $82 (1265% of Medicare)

Ins. Median: $76 (1173% 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 1173% of the Medicare baseline (a markup of 1073%). 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
Medicaid / KanCare	$2 - $32	31%
Blue Cross Blue Shield	$6 - $95	93%
Caresource Mcr Adv	$6	93%
Humana	$6 - $92	93%
Caresource Just4Me - All Other Plans	$8	123%
Healthlink - All Plans	$17 - $92	262%
Wellcare Comm - All Other Plans	$20 - $112	309%
Aetna	$24 - $132	370%
Wellcare Mcaid	$24 - $132	370%
Beacon Bh - All Plans	$25 - $139	386%
Ky Health Co-Op - All Plans	$31 - $172	478%

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 $82.
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 St Claire Regional Medical Center 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.