CMS Price Transparency Data

Blood test, amylase

Facility: Sanford Vermillion Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $55
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 8.49x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Sanford Vermillion Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 8.49x the Medicare baseline. Located in 20 South Plum Street, Vermillion, SD.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $63 (972%)
Insurance Median: $55 (849%)
Cash: $63 (972% of Medicare)
Ins. Median: $55 (849% 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 849% of the Medicare baseline (a markup of 749%). 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
Sanford Health Plan Align $23 - $24 355%
Wellmark Sd $23 - $24 355%
Aetna $25 - $70 386%
Health Partners $25 - $60 386%
Medicare (plans) $25 - $26 386%
Ucare $25 - $70 386%
UnitedHealthcare $25 - $67 386%
Primewest $26 - $27 401%
Sanford Health Plan $30 - $42 463%
Security Health Plan $42 - $44 648%
Medica $64 - $71 988%
Wellmark $66 - $70 1019%
First Choice Health Network $69 - $72 1065%
Healthez $69 - $72 1065%
Multiplan $69 - $72 1065%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20 South Plum Street, Vermillion, SD 57069
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals