CMS Price Transparency Data

Blood test, amylase

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $56
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 8.64x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Clearwater Valley Hospital & Clinics is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 8.64x the Medicare baseline. Located in 301 Cedar Street, Orofino, ID.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $66 (1019%)
Insurance Median: $56 (864%)
Cash: $66 (1019% of Medicare)
Ins. Median: $56 (864% 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 864% of the Medicare baseline (a markup of 764%). 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 $25 - $64 386%
Aetna $48 - $82 741%
Humana $48 - $85 741%
Nimiipuu Mcr Adv-All Plans $48 741%
Pacific Source - All Plans $48 741%
Regence Blue Shield Mcr $48 741%
Veterans Amin-All Plans $48 741%
Corizon Correctnal Med-All Plans $64 988%
Cigna $79 1219%
Idaho Phys Network-All Plans $84 1296%
Multiplan / Phcs-All Plans $85 1312%
First Choice-All Plans $86 1327%
Geha-All Plans $86 1327%
Regence Blue Shield-All Other Plans $88 1358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Cedar Street, Orofino, ID 83544
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals