CMS Price Transparency Data

Blood test, amylase

Facility: Punxsutawney Area Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $7
Cash Discount Price: $20
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Punxsutawney Area Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 1.08x the Medicare baseline. Located in 81 Hillcrest Drive, Punxsutawney, PA.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $20 (309%)

Insurance Median: $7 (108%)

Cash: $20 (309% of Medicare)

Ins. Median: $7 (108% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$3 - $134	46%
UnitedHealthcare	$3 - $90	46%
Highmark	$4 - $17	62%
Highmark Wholecare	$4 - $6	62%
Amerihealth Caritas	$5 - $6	77%
Tricare	$5	77%
Aetna	$6 - $14	93%
Geisinger Health Plan	$6 - $7	93%
Humana	$6	93%
United Mine Workers Of America	$6	93%
Upmc Health Plan	$6 - $38	93%
Ambetter / Centene	$7	108%
Pa Health And Wellness Commercial	$8 - $13	123%
Geisinger	$9 - $18	139%
Pa Workers Compensation	$37 - $226	571%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $20.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82150.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Punxsutawney Area Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82150.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.