CMS Price Transparency Data

Blood test, amylase

Facility: Atrium Health Pineville

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $113
Cash Discount Price: $130
vs. Medicare Baseline: 17.44x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Atrium Health Pineville is $113. 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 17.44x the Medicare baseline. Located in 10628 Park Rd, Charlotte, NC.

Cash / Self-Pay

$130

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $113 (1744%)

Cash: $130 (2006% of Medicare)

Ins. Median: $113 (1744% 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 1744% of the Medicare baseline (a markup of 1644%). 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
Aetna	$7 - $217	108%
Cigna	$7 - $176	108%
Humana	$7	108%
UnitedHealthcare	$7 - $123	108%
Alliance	$8 - $28	123%
Amerihealth Caritas	$8 - $26	123%
Carolina Complete Health	$8 - $27	123%
Healthy Blue	$8 - $27	123%
Ortho Carolina	$8	123%
Partners	$8 - $26	123%
Trillium	$8 - $28	123%
Vaya	$8 - $27	123%
Wellcare	$8 - $27	123%
Blue Cross Blue Shield	$11 - $101	170%
Ambetter / Centene	$76 - $95	1173%
Employers Health Network	$115 - $138	1775%
Physician Reach Out	$130	2006%
Medcost	$140 - $156	2160%
Magellan	$157	2423%
Gmmi	$170	2623%
Quik Trip	$170	2623%
Choicecare	$188 - $193	2901%
Healthgram	$209	3225%
Provider Select	$211 - $235	3256%
Private Health Care Systems	$214	3302%
First Health	$217	3349%
Beechstreet	$235	3627%
Multiplan	$240	3704%

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 $130.
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 Atrium Health Pineville 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.