CMS Price Transparency Data

Blood test, amylase

Facility: Mercy Hospital Southeast

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $38
  • Cash Discount Price: $130
  • vs. Medicare Baseline: 5.86x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Mercy Hospital Southeast is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 5.86x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$130

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $130 (2006%)
Insurance Median: $38 (586%)
Cash: $130 (2006% of Medicare)
Ins. Median: $38 (586% 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 586% of the Medicare baseline (a markup of 486%). 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
Aetna $4 - $164 62%
Medicaid / KanCare $4 - $38 62%
Blue Cross Blue Shield $6 - $243 93%
Cross Timbers Hospice [20098] $6 93%
Dept Of Veteran Affairs Contracted [320106] $6 93%
Elara Caring Aspire Hospice Contracted [320433] $6 93%
Elara Caring Aspire Hospice [20433] $6 93%
Halo Hcr Inc Hospice Contracted [320432] $6 93%
Halo Hcr Inc Hospice [20432] $6 93%
Humana $6 - $218 93%
Kindful Hospice Contracted [320434] $6 93%
Kindful Hospice [20434] $6 93%
Medicare (plans) $6 - $7 93%
Mercy Hospice Okc [20252] $6 93%
Pace Of The Ozarks Contracted [320518] $6 93%
Tricare $6 93%
UnitedHealthcare $6 - $16 93%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $7 108%
Provider Partners Health Plans Contracted [320450] $7 108%
Ambetter / Centene $8 123%
Home State Health Plan Contracted [320187] $8 123%
United Medical Resources Contracted [320454] $8 123%
Consociate Consolidated Health Contracted [320490] $9 - $14 139%
Auxiant Contracted [320462] $11 - $13 170%
Centivo Contracted [320505] $11 170%
Ebms Contracted [320493] $11 170%
Healthlink Contracted [320179] $11 - $200 170%
Imagine 360 Contracted [320494] $11 170%
Mercy Benefit Admin Contracted [320251] $11 - $174 170%
Preferred Health Plan Contracted [320522] $11 170%
Reflect Health Contracted [320492] $11 170%
Yuzu Health Contracted [320521] $11 - $174 170%
Hope Trust Contracted [320488] $16 247%
Cigna $18 278%
First Health Contracted [320128] $37 - $164 571%
Health Alliance Contracted [320164] $38 - $166 586%
Aither Health Contracted [320449] $39 - $174 602%
Edison Health Solutions Contracted [320502] $39 - $174 602%
Mercy Benefit Admin [20251] $39 - $174 602%
Workers Comp [20426] $44 - $205 679%
Multiplan Contracted [320270] $46 - $205 710%
Private Health Care Systems Contracted [320320] $46 - $205 710%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals