CMS Price Transparency Data

Blood test, amylase

Facility: Rio Grande Regional Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $102
  • Cash Discount Price: $1,461
  • vs. Medicare Baseline: 15.74x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Rio Grande Regional Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,461. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 15.74x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$1,461

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $1,461 (22546%)
Insurance Median: $102 (1574%)
Cash: $1,461 (22546% of Medicare)
Ins. Median: $102 (1574% 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 1574% of the Medicare baseline (a markup of 1474%). 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
Texas Health Network $5 77%
Aetna $6 - $7 93%
Allegian Health $6 - $636 93%
Blue Cross Blue Shield $6 - $716 93%
Cigna $6 - $24 93%
Driscoll Children'S Health Plan $6 93%
Humana $6 - $23 93%
Independent Medical System $6 93%
Molina Healthcare $6 - $16 93%
Triwest Healthcare Alliance $6 93%
United $6 - $716 93%
Wellmed $6 93%
American Health Plan $7 108%
Molina $7 108%
Physicians Health Choice $7 108%
Prominence Health $7 108%
Provider Partners Health Plan Of Texas $7 108%
Shared Health $7 108%
Superior Health Plan $7 - $111 108%
Triwest Health Alliance $7 108%
Universal Health Care $8 123%
Superior $10 154%
Corvel Corporation $13 201%
Focus Healthcare $13 201%
Omni Healthcare $14 216%
Oscar $15 231%
Healthcare Highways $19 293%
Texas Workforce Commission $299 - $382 4614%
Averde Health $411 - $525 6343%
Healthsmart Preferred Care $536 - $1,352 8272%
First Health $716 - $915 11049%
National Healthcare Solutions $747 - $955 11528%
Southwest Medical $747 - $955 11528%
Coastal Comp $810 - $1,034 12500%
Usa Managed Care $810 - $1,273 12500%
Ppo Next/ Medical Control $934 - $1,193 14414%
Beech Street $996 - $1,273 15370%
Multiplan $996 - $1,273 15370%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals