CMS Price Transparency Data

Blood test, amylase

Facility: Southcoast Hospitals Group

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $8
Cash Discount Price: $32
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Southcoast Hospitals Group is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 1.23x the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $32 (494%)

Insurance Median: $8 (123%)

Cash: $32 (494% of Medicare)

Ins. Median: $8 (123% 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.

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
Aetna	$6 - $48	93%
Blue Cross Blue Shield	$6 - $13	93%
Evercare [1010304]	$6	93%
Medicare (plans)	$6 - $16	93%
Tufts Senior Care Options [1010315]	$6	93%
UnitedHealthcare	$6 - $8	93%
Commonwealth Care Alliance [1080501]	$7	108%
Eternal Health [1010322]	$7	108%
Tufts Health Public Plans [1010213]	$7	108%
Wellsense Health Plan Senior Care Options [1020208	$7	108%
Fallon [1000114]	$9	139%
Wellsense Health Plan Clarity Connectorcare & Meta	$13	201%
Cigna	$15	231%
Harvard Pilgrim [1010602]	$15	231%
Wellpoint [1000102]	$20	309%
Tufts [1010701]	$26	401%
Mass General Brigham Health Plan Commercial [10122	$35	540%
Mass General Brigham Health Plan Connectorcare [10	$35	540%
Group Insurance Service Center [1013001]	$38	586%
Innovative Health Plan [1025001]	$38	586%
Priority Health [1015001]	$38	586%
PHCS [1000125]	$41	633%
First Health [1000130]	$48	741%

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 $32.
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 Southcoast Hospitals Group 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.