CMS Price Transparency Data

Blood test, amylase

Facility: Sweeny Community Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $79
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 12.19x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Sweeny Community Hospital is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 12.19x the Medicare baseline. Located in 305 North McKinney, Sweeny, TX.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $81 (1250%)
Insurance Median: $79 (1219%)
Cash: $81 (1250% of Medicare)
Ins. Median: $79 (1219% 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 1219% of the Medicare baseline (a markup of 1119%). 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
Aetna $9 - $78 139%
Blue Cross Blue Shield $40 - $67 617%
Evercare Mcaid $67 1034%
UnitedHealthcare $73 - $108 1127%
Amerigroup Mcr Adv - All Other Plans $78 1204%
Community Hlth Choice Him - All Other Plans $78 1204%
Coventry Mcr Adv $78 1204%
Molina Mcr Adv - All Other Plans $78 1204%
Superior Hp Mcr Adv-All Other Plans $78 1204%
Wellcare Mcare - All Plans $78 1204%
Care Improvement Mcr - All Plans $79 1219%
Choicecare Mcr Adv - All Plans $79 1219%
Cigna $88 1358%
Community Hlth Choice Star $95 1466%
Molina Mcaid $95 1466%
Superior Hp Mcaid $95 1466%
Tx Chlidrens Hp Mcaid - All Plans $95 1466%
Tx True Choice Mcaid - All Plans $95 1466%
Beech Street - All Plans $101 1559%
Community Care Network - All Plans $108 1667%
Galaxy Health Network - All Plans $121 1867%
Multiplan - All Plans $121 1867%
Evercare Mcr Adv - All Other Plans $131 2022%
Amerigroup Mcaid $135 2083%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 305 North McKinney, Sweeny, TX 77480
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals