CMS Price Transparency Data

Blood test, amylase

Facility: Essentia Health

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $55
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 8.49x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Essentia Health is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 8.49x the Medicare baseline. Located in 3000 32Nd Ave South, Fargo, ND.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $78 (1204%)
Insurance Median: $55 (849%)
Cash: $78 (1204% of Medicare)
Ins. Median: $55 (849% 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 849% of the Medicare baseline (a markup of 749%). 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
Advocare/Security Health $6 93%
Blue Cross Blue Shield $6 - $80 93%
Freedom Blue Ppo $6 93%
Healthpartners Care Msho / Mcr Adv $6 93%
Imcare Msho Pcc Prime $6 93%
Imcare Msho Ref Req $6 93%
Itasca Med Care $6 93%
Medica Advantage Solutions $6 93%
Medica Msho/Dual Solutions $6 93%
Medica Prime Solution Group $6 93%
Medicare (plans) $6 93%
Nd Va Administration $6 93%
Platinum Blue/Vantage Blue $6 93%
Primewest $6 93%
Primewest Msho $6 93%
Secure Blue Msho $6 93%
Ubh Cost Plan $6 93%
Ubh Msho $6 93%
Ucare Msho $6 93%
UnitedHealthcare $6 - $95 93%
Sanford Health Plan $21 - $54 324%
Medica Access $24 - $32 370%
Healthpartners Care Pmap $35 - $46 540%
Medica $50 - $73 772%
Medica Uplan $50 - $66 772%
Medica Choice $57 - $75 880%
Ucare $59 - $78 910%
Cigna $60 - $80 926%
Healthpartners $60 - $80 926%
Healthpartners Pcc Prime $60 - $80 926%
Wea $65 - $92 1003%
America'S Ppo $70 - $92 1080%
Wps $75 - $100 1157%
Aetna $76 - $101 1173%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 32Nd Ave South, Fargo, ND 58104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals