CMS Price Transparency Data

Blood test, amylase

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $14
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 2.16x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Independence Health System Butler Memorial Hospita is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.16x the Medicare baseline. Located in One Hospital Way, Butler, PA.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $46 (710%)
Insurance Median: $14 (216%)
Cash: $46 (710% of Medicare)
Ins. Median: $14 (216% 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 216% of the Medicare baseline (a markup of 116%). 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
Medicaid / KanCare $5 77%
UnitedHealthcare $5 - $8 77%
Aetna $6 - $52 93%
Amerihealth $6 - $7 93%
Gateway $6 - $68 93%
Geisinger $6 - $65 93%
Highmark $6 - $14 93%
Jefferson Health Plan $6 93%
Life Butler County $6 93%
Martin'S Point - Usfhp $6 - $23 93%
Medicare (plans) $6 93%
Peak Health $6 - $46 93%
Provider Partners $6 93%
Tricare $6 93%
Upmc $6 - $68 93%
American Health Plan $7 108%
Devoted Health Plan $7 - $26 108%
Humana $7 108%
Pa Health & Wellness $7 108%
Pnoa $7 - $52 108%
The Health Plan $7 - $15 108%
Highmark Aca - Direct Blue $9 - $12 139%
Cigna $10 - $32 154%
Highmark - Ind.& Managed Care $12 - $15 185%
Highmark Community Blue $12 - $13 185%
Ellwood Group $13 - $28 201%
Workers Comp $27 417%
Ccbh - Behavioral Health $32 494%
Private Healthcare Systems $46 - $55 710%
Devon $49 756%
Intergroup $52 802%
Multiplan $58 895%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Way, Butler, PA 16001
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals