CMS Price Transparency Data

Blood test, amylase

Facility: Adventist Health St Helena

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $7
Cash Discount Price: $76
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Adventist Health St Helena is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 1.08x the Medicare baseline. Located in 10 Woodland Road, Saint Helena, CA.

Cash / Self-Pay

$76

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $76 (1173%)

Insurance Median: $7 (108%)

Cash: $76 (1173% of Medicare)

Ins. Median: $7 (108% 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.

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
Blue Shield Behav Hlth	$3 - $228	46%
Blue Shield Epn-All Other Plans	$3 - $238	46%
Blue Shield Non-Epn	$3 - $235	46%
Phcs-All Plans	$3 - $278	46%
UnitedHealthcare	$3 - $323	46%
Western Growers-All Plans	$3 - $268	46%
Beech Street-All Plans	$4 - $380	62%
Choicecare-All Plans	$4 - $354	62%
Interplan-All Plans	$4 - $329	62%
Cigna	$5 - $405	77%
Galaxy Network-All Plans	$5 - $455	77%
Health Management Network-All Plans	$5 - $430	77%
Kaiser-All Other Plans	$5 - $415	77%
Three Rivers-All Plans	$5 - $455	77%
Blue Shield Bh Mcr Adv	$6	93%
Blue Shield Mcr Adv	$6	93%
Kaiser Mcr Adv	$6	93%
Tricare	$6	93%
Va Mcr - All Other Plans	$6	93%
Va Medi-Cal	$6 - $7	93%
Ah Employee Health Plan - All Plans	$12	185%
Healthnet-All Plans	$33	509%
Aetna	$38	586%
Blue Cross Blue Shield	$56 - $75	864%

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 $76.
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 Adventist Health St Helena 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.