CMS Price Transparency Data

Blood test, amylase

Facility: Childrens Hospital of Wisconsin Fox Valley

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $89
  • Cash Discount Price: $61
  • vs. Medicare Baseline: 13.73x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Childrens Hospital of Wisconsin Fox Valley is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 13.73x the Medicare baseline. Located in 130 Second St, Neenah, WI.
Cash / Self-Pay
$61

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: $61 (941%)
Insurance Median: $89 (1373%)
Cash: $61 (941% 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.

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
My Choice Wisconsin $6 - $7 93%
UnitedHealthcare $6 - $85 93%
Blue Cross Blue Shield $7 - $106 108%
Chorus Community Health Plan $7 108%
Managed Health Services $7 108%
Molina Healthcare Of Wisconsin $7 108%
Icare $8 123%
Froedtert Health $78 - $95 1204%
Medical College Of Wisconsin $78 1204%
Network Health Plan $79 1219%
Aspirus Health Plan $83 1281%
Common Ground Healthcare Cooperative $83 - $95 1281%
Trilogy Health Solutions $83 - $95 1281%
Wps Health Plan $85 - $100 1312%
Advocate Aurora Healthcare $86 1327%
Centivo $87 1343%
Employer Health Care Alliance Cooperative $87 1343%
Health Partners $87 - $98 1343%
Dean Health Plan $89 1373%
Group Health Cooperative Of Eau Claire $89 1373%
Oan Llc $89 1373%
Security Health Plan $92 1420%
Health Payment Systems $94 1451%
Praire States $95 1466%
Quartz Health Insurance $95 1466%
Sheboygan Employer'S Health Network $95 1466%
America'S Ppo $97 1497%
Aetna $98 - $99 1512%
Bellin Thedacare $100 1543%
Cigna $100 1543%
Group Health Cooperative Of South Central Wisconsin $100 1543%
Healthsmart $100 1543%
Prevea Health Network $100 1543%
Multiplan $101 - $106 1559%
Coventry Health Care $106 1636%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Second St, Neenah, WI 54956
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens