CMS Price Transparency Data

Blood test, amylase

Facility: Bellin Health Oconto Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $26
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 4.01x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Bellin Health Oconto Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 4.01x the Medicare baseline. Located in 820 Arbutus Ave, Oconto, WI.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $23 (355%)
Insurance Median: $26 (401%)
Cash: $23 (355% of Medicare)
Ins. Median: $26 (401% 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 401% of the Medicare baseline (a markup of 301%). 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 $12 - $13 185%
Community Care $12 185%
Humana $12 185%
My Choice $12 185%
Network Health $12 - $31 185%
UnitedHealthcare $15 - $25 231%
Aetna $18 278%
Cigna $25 - $26 386%
Common Ground $26 - $27 401%
Chorus Community Health Plan $27 417%
Aspirus Arise $28 432%
Healthsmart $29 448%
Ihs(Claimsbridge) $29 448%
Medical College Of Wi $29 448%
Hps/Paymedix $30 - $32 463%
Wps Insurance $30 463%
Allied National $31 478%
First Health $31 478%
Galaxy Health $31 478%
Three Rivers Provider Network $32 494%
Trilogy $32 494%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 820 Arbutus Ave, Oconto, WI 54153
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals