CMS Price Transparency Data
Blood test, amylase
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 82150 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82150
- Insurance Median: $17
- Cash Discount Price: $31
- vs. Medicare Baseline: 2.62x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Saint Alphonsus Medical Center Ontario is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.62x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$31
Average discount available for prompt cash payment at this facility.
Insurance Median
$17
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: $31 (478%)
Insurance Median: $17 (262%)
Cash: $31 (478% of Medicare)
Ins. Median: $17 (262% 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 262% of the Medicare baseline (a markup of 162%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $5 - $17 | 77% |
| Blue Cross Blue Shield | $6 - $48 | 93% |
| Medicare (plans) | $6 - $7 | 93% |
| UnitedHealthcare | $6 - $55 | 93% |
| Aetna | $7 - $54 | 108% |
| American Health Advantage Of Idaho | $7 | 108% |
| Healthnet | $7 | 108% |
| Blue Benefit Administrators Of Massachusetts | $11 | 170% |
| Blue Care Network | $11 | 170% |
| Blue Distinction Transplant | $11 | 170% |
| Blue Shield - Ca | $11 | 170% |
| Blue Shield - Id (Regence) | $11 | 170% |
| Blue Shield - Ny Highmark Northeastern | $11 | 170% |
| Blue Shield - Ny Highmark Western | $11 | 170% |
| Blue Shield - Pa (Highmark) | $11 | 170% |
| Blue Shield - Wa (Regence) | $11 | 170% |
| Healthcare Management Admin | $11 | 170% |
| Ada County Jail Inmate Ins | $13 - $17 | 201% |
| Ambetter / Centene | $13 - $17 | 201% |
| Amish Mennonite | $13 - $17 | 201% |
| Bcccp-Michigan | $13 - $17 | 201% |
| Bccp | $13 - $17 | 201% |
| Bmc Healthnet | $13 - $17 | 201% |
| Breast Grant-Connecticut | $13 - $17 | 201% |
| California Health And Wellness | $13 - $17 | 201% |
| Cardinal Innovations Lme | $13 - $17 | 201% |
| Care Oregon Ohp | $13 - $17 | 201% |
| Cencal Health Plan | $13 - $17 | 201% |
| Cenpatico | $13 - $17 | 201% |
| Centurion Of Idaho | $13 - $17 | 201% |
| Chhuny | $13 - $17 | 201% |
| Childrens Comm Health Plan | $13 - $17 | 201% |
| Childrens Medical Services Title 19 | $13 - $17 | 201% |
| Cigna | $13 - $54 | 201% |
| Community Benefit Health | $13 - $17 | 201% |
| Community Care Behavorial Health | $13 - $17 | 201% |
| Community Health Choice | $13 - $17 | 201% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $13 - $17 | 201% |
| Dean Wi Badgercare | $13 - $17 | 201% |
| Delaware First Health | $13 - $17 | 201% |
| Delta Dental Nj | $13 - $17 | 201% |
| Dph Tb Program | $13 - $17 | 201% |
| Dscc | $13 - $17 | 201% |
| Eastpointe Lme | $13 - $17 | 201% |
| Family Health Network | $13 - $17 | 201% |
| Freedom First Healthcare | $13 - $17 | 201% |
| Ghc Scw Wi Badgercare | $13 - $17 | 201% |
| Harbor Health | $13 - $17 | 201% |
| Health Safety Net | $13 - $17 | 201% |
| Healthy Blue Ne | $13 - $17 | 201% |
| Hennepin Health | $13 - $17 | 201% |
| Humana | $13 - $50 | 201% |
| Id County Ada | $13 - $17 | 201% |
| Id County Canyon | $13 - $17 | 201% |
| Id County Cat Fund | $13 - $17 | 201% |
| Id County Payette | $13 - $17 | 201% |
| Idaho Womens Health Check | $13 - $17 | 201% |
| Indiana Breast Cervical Cancer | $13 - $17 | 201% |
| Inland Empire Health Plan | $13 - $17 | 201% |
| Intercommunity Health Ohp | $13 - $17 | 201% |
| Iowa Total Care | $13 - $17 | 201% |
| Jai Medical System | $13 - $17 | 201% |
| Kern Family Health Plan | $13 - $17 | 201% |
| Keystone First | $13 - $17 | 201% |
| Keystone First Chip | $13 - $17 | 201% |
| La Care Health Plan | $13 - $17 | 201% |
| Lakeland Care Inc | $13 - $17 | 201% |
| Managed Health Services - Indiana | $13 - $17 | 201% |
| Maryland Breast & Cervical Program | $13 - $17 | 201% |
| Maryland Healthy Smiles - Scion Dental | $13 - $17 | 201% |
| Maryland Physicians Care | $13 - $17 | 201% |
| Massachusetts Behavioral Health Partnership | $13 - $17 | 201% |
| Mdwise | $13 - $17 | 201% |
| Medi-Cal | $13 - $17 | 201% |
| Medi-Cal Healthnet | $13 - $17 | 201% |
| Medstar Dc Healthy Family | $13 - $17 | 201% |
| Medstar Md Health Choice | $13 - $17 | 201% |
| Mo Home State Health Plan | $13 - $17 | 201% |
| Moda Health | $13 - $55 | 201% |
| Molina Centennial Care | $13 - $17 | 201% |
| Nascentia Health Options | $13 - $17 | 201% |
| Nebraska Total Care | $13 - $17 | 201% |
| New York Cancer Services Program | $13 - $17 | 201% |
| Nextlevel Health | $13 - $17 | 201% |
| Oregon Screenwise | $13 - $17 | 201% |
| Pace Of Southwest Michigan | $13 - $17 | 201% |
| Paramount Advantage | $13 - $17 | 201% |
| Parkland Community Health Plan | $13 - $17 | 201% |
| Partners Behavioral Lme | $13 - $17 | 201% |
| Peach State Healthplan | $13 - $17 | 201% |
| Presbyterian Centennial Care | $13 - $17 | 201% |
| Prestige Health Choice | $13 - $17 | 201% |
| Priority Partners | $13 - $17 | 201% |
| Rx 340B Pass Along | $13 - $17 | 201% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $13 - $17 | 201% |
| Rx Medi-Cal | $13 - $17 | 201% |
| Rx Meridian Rx | $13 - $17 | 201% |
| Sandhills Center Lme | $13 - $17 | 201% |
| Screening For Life | $13 - $17 | 201% |
| Sunshine State Health Plan | $13 - $17 | 201% |
| Superior Health | $13 - $17 | 201% |
| Tenncare | $13 - $17 | 201% |
| Texas Children'S Health Plan | $13 - $17 | 201% |
| Trillium Community Ohp | $13 - $17 | 201% |
| Tufts Health Public Plans | $13 - $17 | 201% |
| Vaya Health Lme | $13 - $17 | 201% |
| Wellsense Health Plan | $13 - $17 | 201% |
| Wi Womens Wellness | $13 - $17 | 201% |
| Webtpa | $17 - $51 | 262% |
| Selecthealth | $24 - $51 | 370% |
| Mountain Health Co-Op | $26 - $34 | 401% |
| Pacificsource Health Plans | $26 - $54 | 401% |
| Allegiance | $33 - $43 | 509% |
| Columbia Health Network | $34 - $46 | 525% |
| Correctional Health Partners | $34 - $44 | 525% |
| Allied National Global Care | $39 - $51 | 602% |
| Asrm - Reliance Standard Life Insurance | $39 - $51 | 602% |
| Christian Care Ministry | $39 - $51 | 602% |
| Dean Health | $39 - $51 | 602% |
| Fallon Health | $39 - $51 | 602% |
| Family Life Insurance Company | $39 - $51 | 602% |
| First Choice Health | $39 - $51 | 602% |
| Ghc Scw | $39 - $51 | 602% |
| International Benefit Administrators | $39 - $51 | 602% |
| Lifetime Benefit Solutions | $39 - $51 | 602% |
| Manhattan Life | $39 - $51 | 602% |
| Pai | $39 - $51 | 602% |
| Pan-American Life | $39 - $51 | 602% |
| Paramount Hmo | $39 - $51 | 602% |
| Phcs | $39 - $51 | 602% |
| Trinity Health Share | $39 - $51 | 602% |
| Lifewise | $40 - $53 | 617% |
| Priority Health | $40 - $54 | 617% |
| Allied Benefit Systems | $41 - $54 | 633% |
| Ameriben | $41 - $54 | 633% |
| Asr Health Benefits | $41 - $54 | 633% |
| Christian Brother Services | $41 - $54 | 633% |
| First Health | $41 - $54 | 633% |
| Geha | $41 - $55 | 633% |
| Healthez | $41 - $54 | 633% |
| Luminare Health (Detroit) | $41 - $54 | 633% |
| Medi Share | $41 - $54 | 633% |
| Providence | $41 - $54 | 633% |
| Rural Carrier Health Benefit Plan | $41 - $54 | 633% |