CMS Price Transparency Data

Blood test, amylase

Facility: Tomah Memorial Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $58
  • Cash Discount Price: $99
  • vs. Medicare Baseline: 8.95x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Tomah Memorial Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 8.95x the Medicare baseline. Located in 501 Gopher Dr, Tomah, WI.
Cash / Self-Pay
$99

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $99 (1528%)
Insurance Median: $58 (895%)
Cash: $99 (1528% of Medicare)
Ins. Median: $58 (895% 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 895% of the Medicare baseline (a markup of 795%). 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
Blue Cross Blue Shield $7 - $158 108%
Independent Care Mcaid $7 108%
Managed Hlth Mcaid - All Plans $7 108%
Quartz Mcaid $7 108%
Security Hp Mcaid $7 108%
Va Ccn - All Plans $11 170%
Group Hlth Mcr Adv - All Plans $58 895%
Humana $58 - $159 895%
Independent Care Mcr - All Other Plans $58 895%
Quartz Mcr Adv $58 895%
Security Hp Mcr Adv $58 895%
UnitedHealthcare $58 - $162 895%
Aetna $112 - $146 1728%
Cigna $131 - $167 2022%
Security Hp Comm - All Other Plans $146 2253%
Quartz Comm - All Other Plans $155 2392%
The Alliance - All Plans $160 2469%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Gopher Dr, Tomah, WI 54660
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals