CMS Price Transparency Data

Blood test, amylase

Facility: Astria Toppenish Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $12
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Astria Toppenish Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 1.85x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.
Cash / Self-Pay
$17

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: $17 (262%)
Insurance Median: $12 (185%)
Cash: $17 (262% 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 $3 - $11 46%
Ambetter / Centene $4 62%
Molina $4 62%
UnitedHealthcare $4 - $26 62%
Va $4 62%
Medicare (plans) $5 - $26 77%
Aetna $6 - $28 93%
Cigna $6 93%
Humana $6 - $32 93%
Li $6 93%
Molina_Exchange $6 93%
Tricare $6 93%
Regence $7 - $11 108%
Zenith $7 108%
Premera $8 - $12 123%
Premera_Affordable_Care $8 - $12 123%
Chpw_Cascade_Care $13 - $20 201%
First_Choice $14 - $22 216%
Tpsc $16 - $25 247%
Bcchp $21 - $32 324%
Great_Rivers $21 - $32 324%
Healthcomp $21 - $32 324%
Washington_State_Hca $21 - $32 324%
Kaiser $25 386%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals