CMS Price Transparency Data

Blood test, amylase

Facility: SSM St Joseph Health Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $14
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 2.16x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at SSM St Joseph Health Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.16x the Medicare baseline. Located in 300 1St Capitol Dr, Saint Charles, MO.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $63 (972%)
Insurance Median: $14 (216%)
Cash: $63 (972% of Medicare)
Ins. Median: $14 (216% 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 216% of the Medicare baseline (a markup of 116%). 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
Oscar $6 - $8 93%
UnitedHealthcare $6 - $7 93%
Aetna $7 108%
Blue Cross Blue Shield $7 - $51 108%
Humana $7 108%
Cigna $11 170%
Healthlink $27 417%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 1St Capitol Dr, Saint Charles, MO 63301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals