CMS Price Transparency Data

Blood test, amylase

Facility: Lancaster General Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $15
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 2.31x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Lancaster General Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.31x the Medicare baseline. Located in 555 North Duke Street, Lancaster, PA.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $47 (725%)
Insurance Median: $15 (231%)
Cash: $47 (725% of Medicare)
Ins. Median: $15 (231% 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 231% of the Medicare baseline (a markup of 131%). 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
Amerihealth Caritas $5 - $7 77%
Lancaster County Mh $5 77%
Medicaid / KanCare $5 - $13 77%
Tricare $5 77%
Albright Life $6 93%
Coatesville Va $6 93%
Gateway $6 93%
Highmark $6 - $47 93%
Hospice Generic $6 93%
Lebanon Veterans Hospital $6 93%
Medicare (plans) $6 - $7 93%
UnitedHealthcare $6 - $40 93%
Aetna $7 - $28 108%
Blue Cross Blue Shield $7 - $40 108%
Cigna $7 - $39 108%
Devoted Health $7 108%
Health Partners Mcr Advantage $7 108%
Pa Health And Wellness Mcr $7 108%
Upmc For You $8 123%
Elap Employees $9 139%
Hospice And Community Care $9 139%
Lg Coresource/Lg Eliance $13 201%
Old Order Group $13 - $15 201%
Oscar Health Plan $13 201%
Lancashire Hall $14 - $47 216%
Nursing Home Op Services $14 216%
Highmark Commercial Preferred $15 - $47 231%
Affilia Home Health $19 - $47 293%
Claim Watcher Plus $19 293%
Masonic Homes $20 - $47 309%
Claim Watcher $21 324%
Eliance Health Solutions $21 - $30 324%
Highmark Commercial Non-Preferred $22 - $47 340%
Elap Other Groups $24 370%
Preferred Healthcare $28 - $40 432%
Ehp $39 602%
Upmc Commercial $39 - $40 602%
Devon $40 617%
Geisinger Commercial $40 617%
Intergroup Services $40 617%
Medi-Share Christian Care $45 694%
Commercial Generic $47 725%
Magellan $47 725%
United Behavioral Health $47 725%
Value Options $47 725%
Workers Compensation $47 725%
Gift Of Life Donor Program $13,500 208333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals