CMS Price Transparency Data

Blood test, amylase

Facility: Lexington Memorial Hospital Inc

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $46
Cash Discount Price: $52
vs. Medicare Baseline: 7.10x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Lexington Memorial Hospital Inc is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 7.10x the Medicare baseline. Located in 250 Hospital Drive Po Box 1817, Lexington, NC.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $52 (802%)

Insurance Median: $46 (710%)

Cash: $52 (802% of Medicare)

Ins. Median: $46 (710% 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 710% of the Medicare baseline (a markup of 610%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Alliance	$12	185%
Amerihealth	$12 - $16	185%
Carolina Complete	$12	185%
Healthy Blue	$12	185%
Partners	$12	185%
Trillium	$12	185%
UnitedHealthcare	$12 - $47	185%
Vaya	$12	185%
Wellcare	$12	185%
Blue Cross Blue Shield	$15 - $24	231%
Ambetter / Centene	$16	247%
Medcost	$23 - $70	355%
Aetna	$30 - $96	463%
Oscar	$33 - $46	509%
Cigna	$45 - $46	694%
Directnet	$61	941%
Healthgram Lexington Home Brands	$75	1157%
Healthgram	$83	1281%
Private Healthcare Systems	$85	1312%
Beechstreet	$92	1420%
Humana	$92	1420%
Multiplan	$94	1451%
National Provider Network	$94	1451%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $52.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82150.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lexington Memorial Hospital Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82150.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.