CMS Price Transparency Data
Blood test, amylase
Facility: Mercy Hospital Carthage
Billing Code: 82150 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82150
- Insurance Median: $76
- Cash Discount Price: $79
- vs. Medicare Baseline: 11.73x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Mercy Hospital Carthage is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 11.73x the Medicare baseline. Located in 3125 Dr Russell Smith Way, Carthage, MO.
Cash / Self-Pay
$79
Average discount available for prompt cash payment at this facility.
Insurance Median
$76
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: $79 (1219%)
Insurance Median: $76 (1173%)
Cash: $79 (1219% of Medicare)
Ins. Median: $76 (1173% 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 1173% of the Medicare baseline (a markup of 1073%). 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 |
|---|---|---|
| Aetna | $6 - $145 | 93% |
| Blue Cross Blue Shield | $6 - $45 | 93% |
| Humana | $6 - $49 | 93% |
| Medicaid / KanCare | $6 - $89 | 93% |
| Medicare (plans) | $7 - $48 | 108% |
| United Medical Resources Contracted [320454] | $9 - $147 | 139% |
| UnitedHealthcare | $9 - $142 | 139% |
| Cherokee Nation Health Serv Contracted [320066] | $24 - $45 | 370% |
| Cigna | $24 - $147 | 370% |
| Cross Timbers Hospice [20098] | $24 - $45 | 370% |
| Dept Of Veteran Affairs Contracted [320106] | $24 - $45 | 370% |
| Elara Caring Aspire Hospice [20433] | $24 - $45 | 370% |
| Globalhealth Contracted [320145] | $24 - $45 | 370% |
| Halo Hcr Inc Hospice Contracted [320432] | $24 - $45 | 370% |
| Halo Hcr Inc Hospice [20432] | $24 - $45 | 370% |
| Indian Health Service Contracted [320198] | $24 - $45 | 370% |
| Kindful Hospice Contracted [320434] | $24 - $45 | 370% |
| Kindful Hospice [20434] | $24 - $45 | 370% |
| Medical Associates Health Contracted [320444] | $24 - $45 | 370% |
| Mercy Hospice Okc [20252] | $24 - $45 | 370% |
| Mercy Mgd Behavioral Health Contracted [320259] | $24 - $45 | 370% |
| Pace Of The Ozarks Contracted [320518] | $24 - $45 | 370% |
| Provider Partners Health Plans Contracted [320450] | $24 - $45 | 370% |
| Qual Choice Contracted [320325] | $24 - $45 | 370% |
| Tricare | $25 - $45 | 386% |
| Point C Contracted [320238] | $31 - $147 | 478% |
| Health Systems Inc Contracted [320174] | $38 - $70 | 586% |
| Insurance System Inc Contracted [320465] | $38 - $70 | 586% |
| Administrative Payor Contracted [320005] | $40 - $73 | 617% |
| Centivo Contracted [320505] | $41 - $75 | 633% |
| Healthscope Contracted [320182] | $46 - $85 | 710% |
| Ambetter / Centene | $49 - $89 | 756% |
| Home State Health Plan Contracted [320187] | $49 - $89 | 756% |
| Novasys Contracted [320285] | $49 - $89 | 756% |
| Benefit Management Contracted [320052] | $53 - $142 | 818% |
| Auxiant Contracted [320462] | $58 - $139 | 895% |
| Healthlink Contracted [320179] | $58 - $152 | 895% |
| Preferred Health Plan Contracted [320522] | $58 - $106 | 895% |
| Workers Comp [20426] | $71 - $163 | 1096% |
| 90 Degree Benefits Contracted [320436] | $76 - $139 | 1173% |
| Aither Health Contracted [320449] | $76 - $139 | 1173% |
| Ebms Contracted [320493] | $76 - $139 | 1173% |
| Edison Health Solutions Contracted [320502] | $76 - $139 | 1173% |
| Imagine 360 Contracted [320494] | $76 - $139 | 1173% |
| Mercy Benefit Admin Contracted [320251] | $76 - $147 | 1173% |
| Reflect Health Contracted [320492] | $76 - $139 | 1173% |
| Show-Me Health Administrators Contracted [320483] | $76 - $139 | 1173% |
| Yuzu Health Contracted [320521] | $76 - $139 | 1173% |
| Evolutions Health Care Contracted [320124] | $77 - $142 | 1188% |
| First Health Contracted [320128] | $77 - $142 | 1188% |
| Medica Contracted [320239] | $77 - $141 | 1188% |
| Multiplan Contracted [320270] | $77 - $142 | 1188% |
| Private Health Care Systems Contracted [320320] | $77 - $142 | 1188% |
| American Healthcare Alliance Contracted [320020] | $80 - $147 | 1235% |
| Ppo Plus Contracted [320310] | $80 - $147 | 1235% |
| Usa Managed Care Org Contracted [320429] | $80 - $147 | 1235% |