CMS Price Transparency Data

Blood test, amylase

Facility: Seneca District Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $96
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 14.81x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Seneca District Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 14.81x the Medicare baseline. Located in 130 Brentwood Drive, Chester, CA.
Cash / Self-Pay
$83

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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: $83 (1281%)
Insurance Median: $96 (1481%)
Cash: $83 (1281% of Medicare)
Ins. Median: $96 (1481% 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 1481% of the Medicare baseline (a markup of 1381%). 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
Medi-Cal $7 108%
Partnership Hp-All Plans $7 108%
Amthem Bc Mcal $8 123%
Ambetter / Centene $9 139%
UnitedHealthcare $38 - $106 586%
Tricare $69 - $76 1065%
Imperial Hp Ma-All Plans $78 - $85 1204%
Blue Cross Blue Shield $81 - $97 1250%
Blue Shield Ipf/Ca Exchange $88 - $96 1358%
Beech Street Corp- All Plans $94 - $103 1451%
Cigna $94 - $103 1451%
Integrated Hp-All Plans $94 - $103 1451%
Interplan Corp- All Plans $94 - $103 1451%
Medincrease- All Plans $94 - $103 1451%
Multiplan- All Plans $94 - $103 1451%
Pacificare - All Plans $94 - $103 1451%
Provider Ntwrk Of America-All Plans $94 - $103 1451%
Alliance- All Plans $96 - $105 1481%
Community Care Network - All Plans $96 - $105 1481%
Coventry- All Plans $97 - $106 1497%
Northern Nevada Health Network- All Plans $97 - $106 1497%
Superior California Ppo - All Plans $97 - $106 1497%
Blue Shield Of Ca- All Other Plans $98 - $107 1512%
Healthnet - All Other Plans $98 - $107 1512%
Three Rivers- All Plans $98 - $107 1512%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Brentwood Drive, Chester, CA 96020
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals