CMS Price Transparency Data

Blood test, amylase

Facility: Porter Hospital Inc

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $34
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 5.25x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Porter Hospital Inc is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 5.25x the Medicare baseline. Located in 115 Porter Drive, Middlebury, VT.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $62 (957%)
Insurance Median: $34 (525%)
Cash: $62 (957% of Medicare)
Ins. Median: $34 (525% 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 525% of the Medicare baseline (a markup of 425%). 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
Humana $6 93%
Fidelis Care $26 401%
Aetna $29 448%
Capital District Physicians' Health Plan $29 - $52 448%
Martins Point $29 448%
Mvp $29 - $58 448%
UnitedHealthcare $29 - $61 448%
Veterans Affairs Community Care Network $29 448%
Veterans Choice $29 448%
Blue Cross Blue Shield $30 - $60 463%
Wellpath $34 525%
Harvard Pilgrim $50 772%
Coventry $55 849%
Cigna $56 864%
Medical Corporation $59 910%
Multiplan $59 910%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Porter Drive, Middlebury, VT 05753
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals