CMS Price Transparency Data

Blood test, amylase

Facility: St Joseph's University Medical Center Inc

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $27
  • Cash Discount Price: $97
  • vs. Medicare Baseline: 4.17x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at St Joseph's University Medical Center Inc is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 4.17x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$97

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $97 (1497%)
Insurance Median: $27 (417%)
Cash: $97 (1497% of Medicare)
Ins. Median: $27 (417% 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 417% of the Medicare baseline (a markup of 317%). 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
UnitedHealthcare $4 - $13 62%
Wellpoint $5 - $6 77%
Aetna $6 - $31 93%
Amerihealth $6 - $96 93%
Blue Cross Blue Shield $6 - $132 93%
Clover Health $6 93%
Horizon New Jersey Total Care $6 93%
Fidelis Care of New Jersey $7 - $30 108%
Horizon New Jersey Health $7 108%
Longevity Health Plan $7 108%
Consumer Health Network $9 - $136 139%
Ambetter / Centene $10 154%
Oxford $13 201%
Private Healthcare Systems $27 - $98 417%
Magnacare $29 - $106 448%
Multiplan $32 - $113 494%
Oscar $40 - $142 617%
Cigna $42 - $151 648%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals