CMS Price Transparency Data

Blood test, amylase

Facility: Texoma Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $170
  • Cash Discount Price: $292
  • vs. Medicare Baseline: 26.23x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Texoma Medical Center is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $292. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 26.23x the Medicare baseline. Located in 5016 S Us Highway 75, Denison, TX.
Cash / Self-Pay
$292

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

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: $292 (4506%)
Insurance Median: $170 (2623%)
Cash: $292 (4506% of Medicare)
Ins. Median: $170 (2623% 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 2623% of the Medicare baseline (a markup of 2523%). 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
Molina $5 - $518 77%
Superior $6 - $12 93%
Tchp $6 93%
Amerigroup $9 139%
United_Healthcare $9 139%
Aetna $60 - $204 926%
Cigna $80 - $290 1235%
Humana $126 - $426 1944%
Multiplan $153 - $518 2361%
Healthsmart $162 - $548 2500%
Healthchoice $219 - $548 3380%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5016 S Us Highway 75, Denison, TX 75020
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals