CMS Price Transparency Data

Blood test, amylase

Facility: Modoc Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $100
  • Cash Discount Price: $115
  • vs. Medicare Baseline: 15.43x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Modoc Medical Center is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 15.43x the Medicare baseline. Located in 1111 N Nagle Street, Alturas, CA.
Cash / Self-Pay
$115

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $115 (1775%)
Insurance Median: $100 (1543%)
Cash: $115 (1775% of Medicare)
Ins. Median: $100 (1543% 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 1543% of the Medicare baseline (a markup of 1443%). 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
Integrated Hp Wc $6 93%
Multiplan Wc $6 93%
Ntwrks By Design Wc - All Plans $6 93%
Adv Med Mgmt - All Plans $7 108%
Medi-Cal $7 108%
Medi-Cal 7/1/24 $7 108%
Partnership Hp - All Plans $7 108%
Blue Shield Mcr Adv $62 957%
Blue Shield Va $62 957%
UnitedHealthcare $62 - $109 957%
Tricare $65 1003%
Healthnet Mcr Adv $66 1019%
Blue Cross Blue Shield $94 - $105 1451%
Blue Shield Exch $94 1451%
Blue Shield Comm - All Other Plans $105 1620%
Carelon - All Plans $105 1620%
Corvel - All Plans $108 1667%
Aetna $109 1682%
Coventry/First Health - All Plans $109 1682%
Galaxy Health - All Plans $109 1682%
Healthnet Comm - All Other Plans $109 1682%
Hmn - All Plans $109 1682%
Integrated Hp - All Other Plans $109 1682%
Interplan - All Plans $109 1682%
Multiplan - All Other Plans $109 1682%
Superior Ca Ppo - All Plans $109 1682%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 N Nagle Street, Alturas, CA 96101
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals