CMS Price Transparency Data

Blood test, amylase

Facility: Prisma Health Tuomey Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $9
  • Cash Discount Price: $101
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Prisma Health Tuomey Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 1.39x the Medicare baseline. Located in 129 N Washington St, Sumter, SC.
Cash / Self-Pay
$101

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $101 (1559%)
Insurance Median: $9 (139%)
Cash: $101 (1559% of Medicare)
Ins. Median: $9 (139% 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.

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
Blue Cross Blue Shield $6 - $28 93%
Cigna $6 - $37 93%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $6 93%
Golden Rule Insurance Company [2991] $6 93%
Humana $6 - $117 93%
Medicare (plans) $6 - $7 93%
Oxford Health Plans [2992] $6 93%
Tricare $6 93%
Triwest Healthcare Alliance Vcp [902] $6 93%
UnitedHealthcare $6 - $8 93%
Va Community Care Network-Vaccn [903] $6 93%
Zzumr-Salt Lake City Ut [3169] $6 93%
Aetna $7 - $123 108%
Healthy Conn Prime-First Choice Vip Care [5300] $7 108%
Healthy Conn Prime-Molina Healthcare [5330] $7 108%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $7 108%
Medicaid / KanCare $8 - $9 123%
Workers Comp [600] $9 139%
Ambetter / Centene $12 185%
Bluechoice [810] $12 - $28 185%
Planned Administrators [820] $12 185%
Scdc-Sc Dept Of Corrections [7232] $23 355%
Prisma Health Seniorcare Pace - Midlands [5400] $36 556%
Prisma Health Seniorcare Pace-Upstate [5200] $36 556%
Promise Health Plan Contracted [2401] $55 - $94 849%
Orangeburg Senior Helping Center Pace [5401] $62 957%
Bob Jones Univ-Pai [821] $94 1451%
Meritain Health Contracted [2200] $100 - $123 1543%
Preferred Administrators Contracted [2839] $109 1682%
Medcost [2940] $115 - $129 1775%
Atlantic Packaging Contracted [4833] $117 1806%
Aps Healthcare System [2981] $125 1929%
Multiplan/Phcs Contracted [2950] $139 2145%
Vsp Vision Care [2986] $140 2160%
First Health Contracted [2952] $145 2238%
Furman Int/Allen University Student [2951] $145 2238%
Quiktrip-First Health [3067] $145 2238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 129 N Washington St, Sumter, SC 29150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals