CMS Price Transparency Data

Blood test, amylase

Facility: Wilkes Regional Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $38
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 5.86x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Wilkes Regional Medical Center is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 5.86x the Medicare baseline. Located in 1370 West D St, North Wilkesboro, NC.
Cash / Self-Pay
$38

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: $38 (586%)
Insurance Median: $38 (586%)
Cash: $38 (586% 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
Healthteam $7 108%
Alliance $12 185%
Amerihealth $12 - $44 185%
Carolina Complete $12 185%
Healthblue $12 185%
Partners $12 185%
Trillium $12 185%
UnitedHealthcare $12 - $40 185%
Vaya $12 185%
Wellcare $12 185%
Medcost $22 - $54 340%
Aetna $28 - $52 432%
Blue Cross Blue Shield $29 - $44 448%
Ambetter / Centene $35 - $46 540%
Cigna $39 - $41 602%
Oscar $41 - $49 633%
Directnet $44 679%
Private Healthcare Systems $68 1049%
Multiplan $69 1065%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1370 West D St, North Wilkesboro, NC 28659
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals