CMS Price Transparency Data
Blood test, amylase
Facility: Mercy Hospital Springfield
Billing Code: 82150 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82150
- Insurance Median: $79
- Cash Discount Price: $121
- vs. Medicare Baseline: 12.19x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Mercy Hospital Springfield is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 12.19x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$121
Average discount available for prompt cash payment at this facility.
Insurance Median
$79
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: $121 (1867%)
Insurance Median: $79 (1219%)
Cash: $121 (1867% of Medicare)
Ins. Median: $79 (1219% 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 1219% of the Medicare baseline (a markup of 1119%). 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 | $5 - $223 | 77% |
| Aetna | $6 - $8 | 93% |
| Centurion Of Missouri [20459] | $6 | 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 - $199 | 93% |
| Indian Health Service Contracted [320198] | $6 | 93% |
| Indian Health Service [20198] | $6 | 93% |
| Kindful Hospice Contracted [320434] | $6 | 93% |
| Kindful Hospice [20434] | $6 | 93% |
| Medica Contracted [320239] | $6 | 93% |
| Medica [20239] | $6 | 93% |
| Medicaid / KanCare | $6 - $12 | 93% |
| Medicare (plans) | $6 - $7 | 93% |
| Mercy Hospice Okc [20252] | $6 | 93% |
| Mercy Mgd Behavioral Health Contracted [320259] | $6 | 93% |
| Mercy Rehab Hospital Contracted [320260] | $6 | 93% |
| Pace Of The Ozarks Contracted [320518] | $6 | 93% |
| Qual Choice Contracted [320325] | $6 | 93% |
| Tricare | $6 | 93% |
| United Medical Resources Contracted [320454] | $6 - $152 | 93% |
| UnitedHealthcare | $6 - $225 | 93% |
| Provider Partners Health Plans Contracted [320450] | $7 | 108% |
| Healthscope Contracted [320182] | $8 | 123% |
| Centivo Contracted [320505] | $11 | 170% |
| Ambetter / Centene | $12 | 185% |
| Home State Health Plan Contracted [320187] | $12 | 185% |
| Novasys Contracted [320285] | $12 | 185% |
| Providrs Care Network Contracted [320484] | $12 | 185% |
| Aither Health Contracted [320449] | $13 - $166 | 201% |
| Auxiant Contracted [320462] | $13 - $190 | 201% |
| Ebms Contracted [320493] | $13 | 201% |
| Healthlink Contracted [320179] | $13 - $39 | 201% |
| Imagine 360 Contracted [320494] | $13 | 201% |
| Mercy Benefit Admin Contracted [320251] | $13 - $166 | 201% |
| Reflect Health Contracted [320492] | $13 | 201% |
| Yuzu Health Contracted [320521] | $13 | 201% |
| 90 Degree Benefits Contracted [320436] | $38 | 586% |
| Show-Me Health Administrators Contracted [320483] | $38 - $40 | 586% |
| Benefit Management Contracted [320052] | $42 - $117 | 648% |
| Health Systems Inc Contracted [320174] | $42 - $117 | 648% |
| Insurance System Inc Contracted [320465] | $42 - $117 | 648% |
| Administrative Payor Contracted [320005] | $47 - $146 | 725% |
| Evolutions Health Care Contracted [320124] | $47 - $131 | 725% |
| Point C Contracted [320238] | $47 - $219 | 725% |
| Point C [20238] | $47 - $131 | 725% |
| Medical Destinations Contracted [320242] | $52 - $146 | 802% |
| Workers Comp [20426] | $52 - $248 | 802% |
| First Health Contracted [320128] | $58 - $164 | 895% |
| Edison Health Solutions Contracted [320502] | $59 - $166 | 910% |
| Federal Medical Center Contracted [320127] | $62 - $175 | 957% |
| Multiplan Contracted [320270] | $80 - $225 | 1235% |
| Private Health Care Systems Contracted [320320] | $80 - $225 | 1235% |
| Compcare Of The Ozarks Contracted [320437] | $82 - $231 | 1265% |
| American Healthcare Alliance Contracted [320020] | $83 - $234 | 1281% |
| Qual Choice Contracted [320324] | $83 - $234 | 1281% |
| Municipal Health Plan Contracted [320271] | $84 - $237 | 1296% |
| Usa Managed Care Org Contracted [320429] | $92 - $257 | 1420% |
| Ppo Plus Contracted [320310] | $94 - $263 | 1451% |