CMS Price Transparency Data

Blood test, amylase

Facility: Mercy Hospital Joplin

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $16
  • Cash Discount Price: $64
  • vs. Medicare Baseline: 2.47x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Mercy Hospital Joplin is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.47x the Medicare baseline. Located in 100 Mercy Way, Joplin, MO.
Cash / Self-Pay
$64

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: $64 (988%)
Insurance Median: $16 (247%)
Cash: $64 (988% 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 $5 - $117 77%
Aetna $6 - $8 93%
Champva [20065] $6 93%
Cherokee Nation Health Serv Contracted [320066] $6 93%
Cigna $6 - $37 93%
Cross Timbers Hospice [20098] $6 93%
Dept Of Veteran Affairs Contracted [320106] $6 93%
Elara Caring Aspire Hospice [20433] $6 93%
Globalhealth Contracted [320145] $6 93%
Halo Hcr Inc Hospice Contracted [320432] $6 93%
Halo Hcr Inc Hospice [20432] $6 93%
Humana $6 - $48 93%
Indian Health Service Contracted [320198] $6 - $105 93%
Kindful Hospice Contracted [320434] $6 93%
Kindful Hospice [20434] $6 93%
Medica Contracted [320239] $6 93%
Medicaid / KanCare $6 - $10 93%
Medicare (plans) $6 - $7 93%
Mercy Hospice Okc [20252] $6 93%
Mercy Mgd Behavioral Health Contracted [320259] $6 93%
Pace Of The Ozarks Contracted [320518] $6 93%
Provider Partners Health Plans Contracted [320450] $6 93%
Qual Choice Contracted [320325] $6 93%
Tricare $6 93%
United Medical Resources Contracted [320454] $6 - $23 93%
UnitedHealthcare $6 - $9 93%
Health Choice Contracted [320166] $8 123%
Healthscope Contracted [320182] $8 123%
Ambetter / Centene $10 154%
Home State Health Plan Contracted [320187] $10 154%
Novasys Contracted [320285] $10 154%
Centivo Contracted [320505] $11 170%
Providrs Care Network Contracted [320484] $12 185%
Aither Health Contracted [320449] $13 - $92 201%
Auxiant Contracted [320462] $13 - $105 201%
Ebms Contracted [320493] $13 201%
Healthlink Contracted [320179] $13 - $105 201%
Imagine 360 Contracted [320494] $13 201%
Mercy Benefit Admin Contracted [320251] $13 - $92 201%
Point C Contracted [320238] $13 - $129 201%
Reflect Health Contracted [320492] $13 201%
Yuzu Health Contracted [320521] $13 201%
Benefit Management Contracted [320052] $15 - $69 231%
Health Systems Inc Contracted [320174] $15 - $69 231%
Insurance System Inc Contracted [320465] $15 - $69 231%
Administrative Payor Contracted [320005] $16 - $72 247%
Edison Health Solutions Contracted [320502] $21 - $92 324%
Preferred Health Plan Contracted [320522] $23 - $105 355%
American Healthcare Alliance Contracted [320020] $25 - $113 386%
First Health Contracted [320128] $25 - $110 386%
Multiplan Contracted [320270] $28 - $124 432%
Private Health Care Systems Contracted [320320] $28 - $124 432%
Usable Contracted [320409] $28 - $124 432%
Point C [20238] $29 - $129 448%
Workers Comp [20426] $29 - $161 448%
Ppo Plus Contracted [320310] $32 - $145 494%
Usa Managed Care Org Contracted [320429] $32 - $142 494%
90 Degree Benefits Contracted [320436] $38 586%
Show-Me Health Administrators Contracted [320483] $38 - $40 586%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Mercy Way, Joplin, MO 64804
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals