CMS Price Transparency Data

Blood test, amylase

Facility: Medical City Plano

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $72
  • Cash Discount Price: $1,017
  • vs. Medicare Baseline: 11.11x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Medical City Plano is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,017. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 11.11x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$1,017

Average discount available for prompt cash payment at this facility.

Insurance Median
$72

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: $1,017 (15694%)
Insurance Median: $72 (1111%)
Cash: $1,017 (15694% of Medicare)
Ins. Median: $72 (1111% 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 1111% of the Medicare baseline (a markup of 1011%). 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
Amerigroup $5 - $6 77%
United $5 - $194 77%
Aetna $6 - $675 93%
Blue Cross Blue Shield $6 - $495 93%
Cigna $6 - $156 93%
Devoted Health $6 93%
Humana $6 - $72 93%
Molina $6 - $7 93%
Mutual Of Omaha $6 93%
Parkland Community Health Plan $6 93%
Triwest Veterans $6 93%
Wellmed $6 93%
American Health Plan Of Texas, Inc. $7 108%
Care N Care $7 108%
Imperial Insurance Company $7 108%
Integranet $7 108%
Procare Advantge $7 108%
Provider Partners Health Plan $7 108%
Superior Health Plan $7 - $78 108%
Texas Independent Health Plan $7 108%
Triwest Health Alliance $7 108%
Wellcare $7 108%
Universal Healthcare Group $8 123%
Verda Health Plan $8 123%
Bravo Health $10 154%
Superior $12 - $15 185%
Usa Managed Care $12 - $892 185%
Corvel Corporation $13 201%
Molina Healthcare $17 262%
Oscar $17 262%
Healthcare Highways $118 - $377 1821%
Evry Health $124 - $288 1914%
Lifecare Hospitals $144 - $335 2222%
Prominence Health Plan $193 - $446 2978%
City Of Mckinney $217 - $502 3349%
Fidelis Securecare $217 - $502 3349%
National Choicecare $241 - $558 3719%
Pc Texas Partners $265 - $613 4090%
Physicians Coop Of Tx $265 - $613 4090%
Rockport Health Group $265 - $613 4090%
Averde Health, Inc $279 - $647 4306%
Texas Healthcare Foundation Wc $313 - $725 4830%
Coastal Comp Health Networks $337 - $781 5201%
Mega Life $337 - $781 5201%
Multiplan Phcs $337 - $781 5201%
Healthsmart Preferred Care $361 - $836 5571%
Lewisville Isd/Dls Consulting $361 - $836 5571%
Usc Health Services $385 - $892 5941%
Galaxy Health Network $409 - $948 6312%
Independent Medical Systems $482 - $1,115 7438%
National Healthcare Solutions $482 - $1,115 7438%
Unicare $482 - $1,115 7438%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals