CMS Price Transparency Data

Blood test, amylase

Facility: Sonoma Valley Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $113
  • Cash Discount Price: $382
  • vs. Medicare Baseline: 17.44x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Sonoma Valley Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $382. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 17.44x the Medicare baseline. Located in 347 Andrieux St, Sonoma, CA.
Cash / Self-Pay
$382

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $382 (5895%)
Insurance Median: $113 (1744%)
Cash: $382 (5895% of Medicare)
Ins. Median: $113 (1744% 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 1744% of the Medicare baseline (a markup of 1644%). 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
Blue Cross Blue Shield $6 - $545 93%
Bright Hlth/Brand New Day Mcr Adv $6 93%
Hospice Of Marin-All Plans $6 93%
St Joseph Heritage Hltcare Comm-All Other Plans $6 93%
Tricare $6 93%
Veterans Admin-All Plans $6 93%
Marin General Comm/Mcr Adv (Western Hlth)-All Plan $7 108%
Medi-Cal $7 108%
Partnership Healthplan-All Plans $7 108%
Cdcr Prison-All Plans $8 123%
Chp - Correctional Health Partners - All Plans $8 123%
Three Rivers (Trpn)-All Plans $8 123%
Bright Hlth/Brand New Day - All Other Plands $9 139%
Wellpath - All Plans $9 139%
Aetna $11 170%
First Health(Coventry)-All Plans $11 170%
Canopy Bay Area Accountable Care Ntwrk (Baacn) - A $12 185%
Canopy Health Solutions-All Other Plans $12 185%
Mcal Mgd Care (Php)-All Plans $12 185%
UnitedHealthcare $13 201%
Meritage Medical Network Op Only Mcare $35 540%
Meritage Medical Network Op Only-All Other Plans $35 540%
Healthnet Hmo/Ppo-All Other Plans $191 2948%
Blue Shield Ppo-All Plans $310 4784%
Kaiser-All Plans $354 5463%
Integrated Health Plan-All Plans $403 6219%
Champus-All Plans $436 6728%
Cigna $436 6728%
Networks By Design - All Plans $436 6728%
Comm Care Network(Ccn)-All Plans $463 7145%
Great West-One Health Plan Ppo/Pos-All Plans $463 7145%
Phcs/Multiplan/Beech St-All Plans $463 7145%
Interplan-All Plans $480 7407%
Bps-All Plans $490 7562%
Ppo Alliance-All Plans $490 7562%
Pref Health Networl(Phn)-All Plans $490 7562%
Scan Mcare-All Plans $545 8410%
St Joseph Heritage Hltcare Mcr Adv $545 8410%
Correct Care Integ Health-All Plans $654 10093%
Employer Direct Healthcare-All Plans $654 10093%
Creative Legal Services-All Plans $708 10926%
Canopy Op Only $981 15139%
Vnpn - All Plans $981 15139%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 347 Andrieux St, Sonoma, CA 95476
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals