CMS Price Transparency Data

Blood test, amylase

Facility: Mercy St Francis Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $131
Cash Discount Price: $94
vs. Medicare Baseline: 20.22x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Mercy St Francis Hospital is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 20.22x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $94 (1451%)

Insurance Median: $131 (2022%)

Cash: $94 (1451% of Medicare)

Ins. Median: $131 (2022% 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 2022% of the Medicare baseline (a markup of 1922%). 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
Medicaid / KanCare	$6 - $75	93%
UnitedHealthcare	$6 - $138	93%
Blue Cross Blue Shield	$6 - $141	93%
Medicare (plans)	$7 - $52	108%
Acentra Health Contracted [320527]	$40	617%
Indian Health Service Contracted [320198]	$40 - $50	617%
Kindful Hospice Contracted [320434]	$40 - $50	617%
Aetna	$40 - $129	617%
Mercy Hospice Okc [20252]	$40 - $50	617%
Cherokee Nation Health Serv Contracted [320066]	$40 - $50	617%
Qual Choice Contracted [320325]	$40 - $50	617%
Pace of the Ozarks Contracted [320518]	$40 - $50	617%
Globalhealth Contracted [320145]	$40 - $50	617%
Humana	$40 - $130	617%
Elara Caring Aspire Hospice [20433]	$40 - $50	617%
Provider Partners Health Plans Contracted [320450]	$40 - $50	617%
Kindful Hospice [20434]	$40 - $50	617%
Cigna	$40 - $138	617%
Cross Timbers Hospice [20098]	$40 - $50	617%
Medical Associates Health Contracted [320444]	$40 - $50	617%
Dept of Veteran Affairs Contracted [320106]	$40 - $50	617%
Mercy Mgd Behavioral Health Contracted [320259]	$40 - $50	617%
Halo Hcr Inc Hospice [20432]	$40 - $50	617%
Halo Hcr Inc Hospice Contracted [320432]	$40 - $50	617%
Tricare	$49	756%
Healthscope Contracted [320182]	$50 - $66	772%
Administrative Payor Contracted [320005]	$65	1003%
Centivo Contracted [320505]	$66 - $84	1019%
Home State Health Plan Contracted [320187]	$75	1157%
Ambetter / Centene	$75	1157%
Novasys Contracted [320285]	$75	1157%
Preferred Health Plan Contracted [320522]	$94	1451%
Healthlink Contracted [320179]	$94 - $138	1451%
Workers Comp [20426]	$116 - $123	1790%
Auxiant Contracted [320462]	$130 - $138	2006%
United Medical Resources Contracted [320454]	$130 - $135	2006%
Mercy Benefit Admin Contracted [320251]	$130 - $138	2006%
Point C Contracted [320238]	$130 - $138	2006%
Medica Contracted [320239]	$137	2114%
Evolutions Health Care Contracted [320124]	$138	2130%
Ebms Contracted [320493]	$138	2130%
Multiplan Contracted [320270]	$138	2130%
Private Health Care Systems Contracted [320320]	$138	2130%
Edison Health Solutions Contracted [320502]	$138	2130%
Health Systems Inc Contracted [320174]	$138	2130%
Show-Me Health Administrators Contracted [320483]	$138	2130%
90 Degree Benefits Contracted [320436]	$138	2130%
Aither Health Contracted [320449]	$138	2130%
Reflect Health Contracted [320492]	$138	2130%
Insurance System Inc Contracted [320465]	$138	2130%
Point C [20238]	$138	2130%
Imagine 360 Contracted [320494]	$138	2130%
Benefit Management Contracted [320052]	$138	2130%
First Health Contracted [320128]	$138	2130%
Yuzu Health Contracted [320521]	$138	2130%
USA Managed Care Org Contracted [320429]	$138	2130%

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 $94.
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 Mercy St Francis Hospital 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.