CMS Price Transparency Data
Blood test, amylase
Facility: Diley Ridge Medical Center
Billing Code: 82150 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82150
- Insurance Median: $28
- Cash Discount Price: $39
- vs. Medicare Baseline: 4.32x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Diley Ridge Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 4.32x the Medicare baseline. Located in 7911 Diley Road, Canal Winchester, OH.
Cash / Self-Pay
$39
Average discount available for prompt cash payment at this facility.
Insurance Median
$28
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: $39 (602%)
Insurance Median: $28 (432%)
Cash: $39 (602% of Medicare)
Ins. Median: $28 (432% 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 432% of the Medicare baseline (a markup of 332%). 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 |
|---|---|---|
| Aetna | $6 - $60 | 93% |
| Blue Benefit Administrators Of Massachusetts | $6 | 93% |
| Blue Care Network | $6 | 93% |
| Blue Cross Blue Shield | $6 - $60 | 93% |
| Blue Distinction Transplant | $6 | 93% |
| Blue Shield - Ca | $6 | 93% |
| Blue Shield - Id (Regence) | $6 | 93% |
| Blue Shield - Ny Highmark Northeastern | $6 | 93% |
| Blue Shield - Ny Highmark Western | $6 | 93% |
| Blue Shield - Pa (Highmark) | $6 | 93% |
| Blue Shield - Wa (Regence) | $6 | 93% |
| Hospice Mount Carmel | $6 | 93% |
| Medicare (plans) | $6 - $7 | 93% |
| Oscar | $6 | 93% |
| Rural Carrier Health Benefit Plan | $6 | 93% |
| UnitedHealthcare | $6 - $55 | 93% |
| The Health Plan | $7 - $39 | 108% |
| Enterprise Group Planning | $13 | 201% |
| Custom Design Benefits | $14 | 216% |
| Quality Care Partners | $15 | 231% |
| American Postal Workers Secondary | $27 | 417% |
| Cigna | $27 | 417% |
| Geha | $27 - $55 | 417% |
| Gravie Admin Services | $27 | 417% |
| Health Partners | $27 | 417% |
| Healthez | $27 | 417% |
| Healthgram | $27 | 417% |
| Meritain | $27 | 417% |
| Mvp | $27 | 417% |
| Priority Health | $27 | 417% |
| Webtpa | $27 | 417% |
| Access Health | $28 | 432% |
| Acclaim | $28 | 432% |
| Administrative Concepts | $28 | 432% |
| Allegeant | $28 | 432% |
| Allied Benefit Systems | $28 | 432% |
| American Family | $28 | 432% |
| American Healthcare Alliance | $28 | 432% |
| American National | $28 | 432% |
| American Republic | $28 | 432% |
| Amerihealth | $28 | 432% |
| Aultcare | $28 | 432% |
| Automated Benefit Services | $28 | 432% |
| Auxiant | $28 | 432% |
| Benefit Administrative Systems,Llc | $28 | 432% |
| Boon Chapman | $28 | 432% |
| Cam Administrative Services | $28 | 432% |
| Christian Brother Services | $28 | 432% |
| Christian Brothers Holy Cross | $28 | 432% |
| Claimchoice Adminstrators | $28 | 432% |
| Comprehensive Benefits | $28 | 432% |
| Continental Life Insurance | $28 | 432% |
| Coventry | $28 | 432% |
| Custom Benefit Administrators | $28 | 432% |
| Cypress Benefit Administrators | $28 | 432% |
| Employee Benefit Concepts | $28 | 432% |
| Employee Benefit Management | $28 | 432% |
| Forest County Potawatomi | $28 | 432% |
| Freedom Life Insurance Company | $28 | 432% |
| Group Administrators | $28 | 432% |
| Group Marketing Services | $28 | 432% |
| Group Pension Administrators | $28 | 432% |
| Guardian | $28 | 432% |
| Health America | $28 | 432% |
| Health Choices | $28 | 432% |
| Healthcare Management Admin | $28 | 432% |
| Insight | $28 | 432% |
| Intercare | $28 | 432% |
| Jfp Benefit Management | $28 | 432% |
| Jp Farley Corporation | $28 | 432% |
| Key Benefit Administrator | $28 | 432% |
| Liberty Union Life Assurance Co | $28 | 432% |
| Lucent Health | $28 | 432% |
| Luminare Health | $28 | 432% |
| Magnacare | $28 | 432% |
| Medcost | $28 | 432% |
| Mutual Health Services | $28 | 432% |
| Mutual Of Omaha | $28 | 432% |
| Ncas | $28 | 432% |
| Nippon Life Ins | $28 | 432% |
| Nova | $28 | 432% |
| Painters Union Insurance Fund | $28 | 432% |
| Physicians Mutual | $28 | 432% |
| Plumbers Local 98 Insurance Fund | $28 | 432% |
| Prairie States | $28 | 432% |
| Preferred One | $28 | 432% |
| Primary Physician Care | $28 | 432% |
| Professional Benefit Administrators | $28 | 432% |
| Secureone Preferred United Plans | $28 | 432% |
| Siho Insurance Services | $28 | 432% |
| Sisco Benefits | $28 | 432% |
| The Loomis Company | $28 | 432% |
| Trustmark Small Business Benefits | $28 | 432% |
| U Of M Health Plan | $28 | 432% |
| Unicare | $28 | 432% |
| Unified Group Services | $28 | 432% |
| Us Health And Life | $28 | 432% |
| Valenz | $28 | 432% |
| Varipro | $28 | 432% |
| Wps | $28 | 432% |
| Medben | $30 - $45 | 463% |
| Humana | $31 - $60 | 478% |
| First Health | $32 | 494% |
| Consociate | $37 | 571% |
| Health Ohio Network | $37 | 571% |
| Caresource | $44 | 679% |
| Healthlink Inc | $45 | 694% |
| Luminare Health (Detroit) | $45 | 694% |
| Medical Benefits Mutual | $45 | 694% |
| Ohio Health Choice | $45 | 694% |
| Ohio Ppo Connect | $45 | 694% |
| Osu Not Independent Choice | $45 | 694% |
| Medical Mutual | $46 | 710% |
| Ameriben | $48 | 741% |
| Medi Share | $48 | 741% |
| Multiplan | $48 | 741% |
| Ohiohealthy | $48 | 741% |
| Phcs | $48 | 741% |
| Philadelphia American Life Insurance | $48 | 741% |
| Twin Valley Psychiatric | $48 | 741% |
| Health Smart | $51 | 787% |
| Bccp | $60 | 926% |
| Medicaid / KanCare | $60 | 926% |
| Optima Health | $60 | 926% |
| Crime Victim Assistance | $632 | 9753% |
| Ohio Safe Program | $632 | 9753% |