CMS Price Transparency Data

Blood test, amylase

Facility: Clarion Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $12
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Clarion Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 1.85x the Medicare baseline. Located in One Hospital Drive, Clarion, PA.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $36 (556%)
Insurance Median: $12 (185%)
Cash: $36 (556% of Medicare)
Ins. Median: $12 (185% 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.

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
Medicaid / KanCare $5 77%
Amerihealth $6 93%
Cigna $6 - $32 93%
Highmark $6 - $22 93%
Highmark Community Blue $6 93%
Martin'S Point - Usfhp $6 - $23 93%
Medicare (plans) $6 93%
Tricare $6 93%
UnitedHealthcare $6 93%
Upmc $6 - $34 93%
Aetna $7 - $58 108%
American Health Plan $7 108%
Devoted Health Plan $7 - $26 108%
Gateway $7 - $24 108%
Geisinger $7 108%
Jefferson Health Plan $7 108%
Pa Health & Wellness $7 108%
The Health Plan $7 - $15 108%
Highmark - Ind.& Managed Care $15 - $22 231%
Peak Health $15 - $46 231%
Devon $49 756%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Drive, Clarion, PA 16214
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals