CMS Price Transparency Data

Blood test, amylase

Facility: Mercy Hospital Tishomingo Inc

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $62
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 9.57x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Mercy Hospital Tishomingo Inc is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 9.57x the Medicare baseline. Located in 1000 South Byrd St, Tishomingo, OK.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $69 (1065%)
Insurance Median: $62 (957%)
Cash: $69 (1065% of Medicare)
Ins. Median: $62 (957% 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 957% of the Medicare baseline (a markup of 857%). 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 - $85 93%
Humana $6 - $102 93%
Medicaid / KanCare $6 - $38 93%
Health Choice Contracted [320166] $9 139%
Blue Cross Blue Shield $23 - $62 355%
Ambetter / Centene $25 - $38 386%
Home State Health Plan Contracted [320187] $25 - $38 386%
Novasys Contracted [320285] $25 - $38 386%
Webtpa Contracted [320417] $35 - $54 540%
Medicare (plans) $39 - $82 602%
Cherokee Nation Health Serv Contracted [320066] $40 - $62 617%
Cross Timbers Hospice [20098] $40 - $62 617%
Dept Of Veteran Affairs Contracted [320106] $40 - $62 617%
Elara Caring Aspire Hospice Contracted [320433] $40 - $62 617%
Elara Caring Aspire Hospice [20433] $40 - $62 617%
Halo Hcr Inc Hospice Contracted [320432] $40 - $62 617%
Halo Hcr Inc Hospice [20432] $40 - $62 617%
Independent Health [20197] $40 - $62 617%
Indian Health Service Contracted [320198] $40 - $62 617%
Kindful Hospice Contracted [320434] $40 - $62 617%
Kindful Hospice [20434] $40 - $62 617%
Medical Associates Health [20444] $40 - $62 617%
Mercy Hospice Okc [20252] $40 - $62 617%
Provider Partners Health Plans Contracted [320450] $40 - $62 617%
Qual Choice Contracted [320325] $40 - $62 617%
Tribute Health Plan Mcr Contracted [320338] $40 - $62 617%
Tricare $40 - $62 617%
UnitedHealthcare $40 - $101 617%
Globalhealth Contracted [320145] $41 - $63 633%
Cigna $42 - $96 648%
Aither Health Contracted [320449] $50 - $109 772%
Mercy Benefit Admin Contracted [320251] $50 - $109 772%
Quik Trip Contracted [320447] $50 - $77 772%
Show-Me Health Administrators Contracted [320483] $50 - $77 772%
Medica Contracted [320239] $54 - $82 833%
First Health Contracted [320128] $56 - $85 864%
Osma Health Contracted [320292] $59 - $90 910%
Benefit Management Contracted [320052] $63 - $115 972%
Healthcare Highways Plus Contracted [320175] $63 - $96 972%
Private Health Care Systems Contracted [320320] $63 - $102 972%
United Medical Resources Contracted [320454] $66 - $101 1019%
Multiplan Contracted [320270] $67 - $115 1034%
Auxiant Contracted [320462] $71 - $109 1096%
Ebms Contracted [320493] $71 - $109 1096%
Healthlink Contracted [320179] $71 - $109 1096%
Imagine 360 Contracted [320494] $71 - $109 1096%
Preferred Community Choice Contracted [320311] $71 - $109 1096%
Reflect Health Contracted [320492] $71 - $109 1096%
Yuzu Health Contracted [320521] $71 - $109 1096%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 South Byrd St, Tishomingo, OK 73460
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals