CMS Price Transparency Data

Blood test, amylase

Facility: Southern Coos Hospital & Health Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $64
Cash Discount Price: $99
vs. Medicare Baseline: 9.88x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Southern Coos Hospital & Health Center is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 9.88x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$99

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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: $99 (1528%)

Insurance Median: $64 (988%)

Cash: $99 (1528% of Medicare)

Ins. Median: $64 (988% 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 988% of the Medicare baseline (a markup of 888%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthnet - All Plans	$4 - $9	62%
Tricare	$37 - $77	571%
Advanced Health - All Plans	$41 - $84	633%
Aetna	$43 - $120	664%
Atrio Mcr Adv - Allplans	$43 - $88	664%
Confederated Tribes - All Plans	$43 - $88	664%
Moda Mcr Adv	$43 - $88	664%
Pacific Source Mcr Adv	$43 - $88	664%
Cigna	$51 - $105	787%
Moda Health Plan - All Other Plans	$57 - $118	880%
Prov Netwrk Of America - All Plans	$58 - $120	895%
Three Rivers - All Plans	$58 - $120	895%
UnitedHealthcare	$58 - $120	895%
First Choice - All Plans	$59 - $122	910%
Blue Cross Blue Shield	$60 - $124	926%
Multiplan - All Plans	$60 - $124	926%
First Health - All Plans	$61 - $126	941%
Pacific Source - All Other Plans	$61 - $126	941%
Providence Preferred - All Plans	$61 - $126	941%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $99.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82150.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southern Coos Hospital & Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82150.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.