CMS Price Transparency Data

Blood test, amylase

Facility: UPMC Wellsboro

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $115
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 17.75x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at UPMC Wellsboro is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 17.75x the Medicare baseline. Located in 32-36 Central Avenue, Wellsboro, PA.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $125 (1929%)
Insurance Median: $115 (1775%)
Cash: $125 (1929% of Medicare)
Ins. Median: $115 (1775% 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 1775% of the Medicare baseline (a markup of 1675%). 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 77%
Geisinger $6 - $127 93%
Highmark Wholecare (Prev Gateway) $6 - $38 93%
UnitedHealthcare $6 - $161 93%
Upmc Health Plan $6 - $82 93%
Upmc Work Partners $6 93%
Health Partners Plans (Jefferson Health Plan) $8 123%
Pa Health & Wellness $9 - $41 139%
Aetna $31 - $163 478%
Blue Cross Blue Shield $34 - $96 525%
Cigna $36 - $40 556%
Wirerope Works $95 - $105 1466%
Multiplan $133 - $180 2052%
America'S Choice $154 - $170 2377%
Intergroup $154 - $170 2377%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 32-36 Central Avenue, Wellsboro, PA 16901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals