CMS Price Transparency Data

Blood test, amylase

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $89
Cash Discount Price: $119
vs. Medicare Baseline: 13.73x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 13.73x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $119 (1836%)

Insurance Median: $89 (1373%)

Cash: $119 (1836% of Medicare)

Ins. Median: $89 (1373% 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 1373% of the Medicare baseline (a markup of 1273%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $127	93%
Managed Health Services	$6 - $7	93%
Molina Healthcare Of Wi	$6 - $122	93%
Network Health Plan	$6 - $120	93%
Quartz	$6 - $82	93%
Security Health Plan (Shp)	$6 - $83	93%
UnitedHealthcare	$6 - $23	93%
Veteran'S Administration (Va Ccn)	$6	93%
Blue Cross Blue Shield	$7 - $34	108%
Group Health Cooperative Of Eau Claire	$7 - $136	108%
Icare	$7	108%
My Choice	$7	108%
Trilogy	$7 - $129	108%
The Alliance	$54 - $73	833%
Amish/Mennonite	$59 - $79	910%
Wps Health Insurance	$72 - $96	1111%
Cigna	$73 - $106	1127%
Health Payment Systems	$74 - $100	1142%
First Health	$91 - $122	1404%
Healtheos By Multiplan Inc.	$100 - $136	1543%
Health Partners	$102 - $136	1574%
Coventry	$103 - $137	1590%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $119.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82150.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Beaver Dam (Mmc-Bd) is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82150.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.