CMS Price Transparency Data

Blood test, amylase

Facility: Wooster Community Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $22
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 3.40x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Wooster Community Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 3.40x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $27 (417%)
Insurance Median: $22 (340%)
Cash: $27 (417% of Medicare)
Ins. Median: $22 (340% 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 340% of the Medicare baseline (a markup of 240%). 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
Blue Cross Blue Shield $5 - $11 77%
Buckeye Mcare $6 93%
Caresource Mcr Adv $6 93%
Humana $6 - $25 93%
Med Mutual Of Oh Mcr $6 93%
Molina Mcr $6 93%
Summacare Mcr $6 93%
The Health Plan Mcr Adv $6 93%
Tricare $6 93%
UnitedHealthcare $6 - $26 93%
Valor Hp Mcr-All Plans $6 93%
Magnipower-All Plans $8 123%
Caresource Exch - All Other Plans $9 139%
Buckeye Mcaid-All Other Plans $10 154%
Caresource Mcaid $10 154%
Molina Mcaid $10 154%
Aetna $11 - $27 170%
Amerihealth Mcaid-All Plans $11 170%
Molina Marketplace - All Other Plans $11 170%
Aultcare/Primecare Mcr Adv $13 201%
Clarity Health - All Plans $13 201%
Cerco-All Plans $18 - $19 278%
Aultcare Wayne County $20 309%
Aultcare/Primetime Exch $20 309%
Rayco-All Plans $20 309%
Christian Health Ministries-All Plans $21 - $22 324%
Cigna $21 - $22 324%
Health Ohio Network Employer $21 - $22 324%
Wayne County-All Plans $21 - $22 324%
Health Ohio Network Ppo-All Other Plans $22 - $23 340%
Healthsmart Accel $22 340%
Healthsmart Complete Ppo-All Other Plans $22 - $23 340%
Med Mutual Of Oh Exchange $22 - $23 340%
Med Mutual Of Oh Supermed $22 - $23 340%
Med Mutual Of Oh Trad-All Other Plans $22 - $23 340%
Ohio Health Choice Supp $22 - $23 340%
Ohio Health Group Hlthy - All Other Plans $22 - $23 340%
Summacare Preferred Choice $22 340%
Health Plan Of Upper Ohio-All Plans $23 - $24 355%
Ohio Health Group Pref $23 - $24 355%
The Health Plan Comm - All Other Plans $23 - $24 355%
Aultcare/Primetime-All Other Plans $24 370%
Healthsmart Ppo $24 370%
Summacare-All Other Plans $24 - $25 370%
Beech Street-All Plans $25 - $26 386%
Central Benefits-All Plans $25 - $26 386%
First Health-All Plans $25 - $26 386%
Flora-All Plans $25 - $26 386%
Healthsmart Hpo $25 - $26 386%
Ohio Health Choice-All Other Plans $25 386%
Osu-All Plans $25 - $26 386%
Phcs-All Plans $25 - $26 386%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals