CMS Price Transparency Data

Blood test, amylase

Facility: Carilion Stonewall Jackson Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $103
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 15.90x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Carilion Stonewall Jackson Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 15.90x the Medicare baseline. Located in 1 Health Circle, Lexington, VA.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $56 (864%)
Insurance Median: $103 (1590%)
Cash: $56 (864% of Medicare)
Ins. Median: $103 (1590% 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 1590% of the Medicare baseline (a markup of 1490%). 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
UnitedHealthcare $7 - $131 108%
Sentara Health Plan $7 - $99 108%
Abh of Wva (Formerly Coventry) $7 108%
Humana $7 108%
Abh of VA (Formerly Coventry) $7 108%
Blue Cross Blue Shield $7 108%
Aetna $81 - $106 1250%
Gateway - Tier 3 $88 1358%
Vhn - Ultra $99 1528%
Connecticare $112 1728%
Gateway - Tier 2 $128 1975%
Cigna $128 1975%
Vhn - Plus $128 1975%
Integrated Health Plan $136 2099%
Vhn $136 2099%
Vhn - Link $144 2222%
Beech Street $147 2269%
Gateway - Tier 1 $152 2346%
Vhn - Secondary Payors $152 2346%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Health Circle, Lexington, VA 24450
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals