Delaware · 82150

Amylase (enzyme) Level in Delaware

Delaware Medicare Avg
$6.35
0% above national avg
National Medicare Avg
$6.33
All states combined
Billed Charge (DE)
$19.70
What providers submit
Est. Commercial (DE)
$14.29
National avg: $14.19
Est. Cash / Self-Pay (DE)
$10.18
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

41
Services in DE
3
Providers
N/A
Min Payment
N/A
Max Payment

Delaware Pricing in Context

In Delaware, CPT code 82150 (Amylase (enzyme) Level) carries an average Medicare payment of $6.35 — 0% above the national benchmark of $6.33. 3 providers across the state submitted claims for this procedure in 2023, performing 41 total services. Individual payments in DE ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Delaware is $19.70, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Delaware sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Laboratory procedures, the estimated commercial insurance price in Delaware lands near $14.29, with self-pay cash prices typically around $10.18. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Amylase (enzyme) Level cost in Delaware?

The average Medicare payment for Amylase (enzyme) Level in Delaware is $6.35, which is 0% above the national average of $6.33. Providers in DE typically bill $19.70 for this procedure.

What does Amylase (enzyme) Level cost with insurance in Delaware?

With commercial insurance in Delaware, Amylase (enzyme) Level costs an estimated $14.29. Without insurance, the estimated cash price is $10.18. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Amylase (enzyme) Level in Delaware?

3 providers in Delaware billed Medicare for Amylase (enzyme) Level in 2023, performing 41 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Amylase (enzyme) Level cheaper in Delaware than the national average?

No — Amylase (enzyme) Level costs 0% above the national average in Delaware. The state average Medicare payment is $6.35 compared to $6.33 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial