CMS Price Transparency Data

Blood test, amylase

Facility: Saint Agnes Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $13
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 2.01x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Saint Agnes Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.01x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $35 (540%)
Insurance Median: $13 (201%)
Cash: $35 (540% of Medicare)
Ins. Median: $13 (201% 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 201% of the Medicare baseline (a markup of 101%). 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
Coventry $3 - $119 46%
Healthnet $3 - $141 46%
St Agnes Nicu Valley Childrens Hospital $3 - $112 46%
Allegiance $4 - $133 62%
American Postal Workers Secondary $4 - $133 62%
Cba Network By Design $4 - $130 62%
Cigna $4 - $133 62%
Interplan $4 - $156 62%
Multiplan $4 - $145 62%
Network Health $4 - $130 62%
Phcs $4 - $145 62%
Aetna $6 - $39 93%
Blue Cross Blue Shield $6 - $61 93%
Humana $6 93%
Medicare (plans) $6 - $7 93%
UnitedHealthcare $6 - $13 93%
Align Senior Care $7 108%
Welbe Health $7 108%
Correctcare Integrated Health $8 123%
Medi-Cal Healthnet $9 - $10 139%
Geha $11 170%
Kaiser Permanente $11 170%
Advantek Central Usd $16 247%
Blue Shield - Ca $18 - $61 278%
Meritain $37 571%
Trustmark Small Business Benefits $37 571%
Allied Benefit Systems $39 602%
Boon Chapman $39 602%
Hap $39 602%
Webtpa $39 602%
Blue Benefit Administrators Of Massachusetts $61 941%
Blue Care Network $61 941%
Blue Distinction Transplant $61 941%
Blue Shield - Id (Regence) $61 941%
Blue Shield - Ny Highmark Northeastern $61 941%
Blue Shield - Ny Highmark Western $61 941%
Blue Shield - Pa (Highmark) $61 941%
Blue Shield - Wa (Regence) $61 941%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals