CMS Price Transparency Data

Blood test, amylase

Facility: Lost Rivers Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $58
  • Cash Discount Price: $74
  • vs. Medicare Baseline: 8.95x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Lost Rivers Medical Center is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 8.95x the Medicare baseline. Located in 551 Highland Drive, Arco, ID.
Cash / Self-Pay
$74

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $74 (1142%)
Insurance Median: $58 (895%)
Cash: $74 (1142% of Medicare)
Ins. Median: $58 (895% 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 895% of the Medicare baseline (a markup of 795%). 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
Humana $6 - $58 93%
Regence Blue Shield-All Other Plans $6 93%
Provider Network Of America-All Plans $12 185%
Select Health Brightpath-All Other Plans $52 802%
Tricare $52 802%
Ihcn Brightpath-All Other Plans $55 849%
Va Pccc-All Plans $56 864%
Blue Cross Blue Shield $58 - $92 895%
Ihcn Brightpath Mcr Adv $58 895%
Molina Mcr Adv-All Plans $58 895%
Pacificsource Mcr Adv $58 895%
Regence/Brightpth Slhp Mcr $58 895%
Select Health Mcr Adv $58 895%
Prime Hlth Mcr Adv $61 941%
Aetna $63 - $86 972%
Cigna $86 1327%
First Choice-All Plans $86 1327%
Pacificsource Navigator-All Other Plans $87 1343%
UnitedHealthcare $87 1343%
Altius Health Plan-All Plans $89 1373%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 551 Highland Drive, Arco, ID 83213
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals