CMS Price Transparency Data

Blood test, amylase

Facility: Adventist Health and Rideout

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $54
Cash Discount Price: $27
vs. Medicare Baseline: 8.33x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Adventist Health and Rideout is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 8.33x the Medicare baseline. Located in 726 4Th St, Marysville, CA.

Cash / Self-Pay

$27

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $27 (417%)

Insurance Median: $54 (833%)

Cash: $27 (417% of Medicare)

Ins. Median: $54 (833% 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 833% of the Medicare baseline (a markup of 733%). 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
Bc Mcal	$2	31%
Kaiser Mcr Adv	$6	93%
Tricare	$6	93%
UnitedHealthcare	$6 - $236	93%
Blue Cross Blue Shield	$7 - $209	108%
Healthnet Mcal	$7 - $54	108%
Kaiser Mcal	$7	108%
Medi-Cal	$7	108%
Partnership Hp Mcal -All Plans	$7	108%
Ca Health And Wellness- All Plans	$9	139%
Celtic Mcaid-All Plans	$9	139%
Ah Employee Health Plan - All Plans	$12	185%
Healthnet Comm-All Other Plans	$22 - $163	340%
Aetna	$26 - $192	401%
Kaiser-All Other Plans	$28 - $207	432%
Blue Shield Uc Care Members	$29 - $218	448%
Cigna	$31 - $232	478%
First Health-All Plans	$32 - $238	494%
Phcs-All Plans	$32 - $239	494%
Interplan-All Plans	$33 - $245	509%
Blue Shield-All Other Plans	$35 - $258	540%
Multiplan-All Plans	$35 - $258	540%

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 $27.
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 and Rideout 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.