CMS Price Transparency Data

Blood test, amylase

Facility: Mon Health Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $31
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 4.78x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Mon Health Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 4.78x the Medicare baseline. Located in 1200 Jd Anderson Drive, Morgantown, WV.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $19 (293%)
Insurance Median: $31 (478%)
Cash: $19 (293% of Medicare)
Ins. Median: $31 (478% 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 478% of the Medicare baseline (a markup of 378%). 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
Unison_Plan $5 77%
Aetna $6 - $36 93%
Blue Cross Blue Shield $6 - $32 93%
Gateway_Health_Plan $6 93%
Health_South_Mountain_View_Plan $6 93%
Humana $6 - $40 93%
Medicare (plans) $6 93%
Paramount_Elite_Plan $6 93%
Uhc_Va_Plan $6 93%
Zelis_Group_Health_Plan $6 93%
Zelis_Other_Plan $6 93%
Maryland_Physicians_Care_Plan $7 - $31 108%
The_Health_Plan_Peia_Plan $7 108%
The_Health_Plan_Murray_Energy_Commercial_Aso_Plan $8 - $36 123%
Acpn_Plan $9 - $40 139%
Cigna $9 - $40 139%
Health_Payors_Organization_Plan $9 - $41 139%
Mon_County_Commission_Plan $9 - $40 139%
The_Health_Plan_Plan $9 - $38 139%
Uhc_Plan $9 - $40 139%
Geha_Plan $10 - $43 154%
Multiplan_Phcs_Plan $10 - $42 154%
Mutual_Of_Omaha_Plan $10 - $42 154%
Three_Rivers_Plan $10 - $43 154%
Uhc_Onenet_Ppo_Plan $10 - $43 154%
Uhc_Options_Ppo_Plan $10 - $42 154%
Upmc__Plan $10 - $43 154%
Seven_Corners_Plan $13 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Jd Anderson Drive, Morgantown, WV 26505
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals