CMS Price Transparency Data

Blood test, amylase

Facility: Othello Community Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $86
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 13.27x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Othello Community Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 13.27x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $84 (1296%)
Insurance Median: $86 (1327%)
Cash: $84 (1296% of Medicare)
Ins. Median: $86 (1327% 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 1327% of the Medicare baseline (a markup of 1227%). 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
Ambetter / Centene $46 - $50 710%
Amerigroup Mcaid $46 - $50 710%
Chp - All Other Plans $46 - $50 710%
Chp Mcaid $46 - $50 710%
Cocare - All Plans $46 - $50 710%
Gau - All Plans $46 - $50 710%
Kaiser - All Plans $46 - $50 710%
Molina - All Other Plans $46 - $50 710%
Molina Mcaid $46 - $50 710%
UnitedHealthcare $46 - $117 710%
Medicare (plans) $54 - $59 833%
Tricare $70 - $76 1080%
Triwest - All Plans $70 - $76 1080%
Asuris - All Plans $86 - $94 1327%
Commercial Other - All Plans $86 - $94 1327%
Hma - All Plans $86 - $94 1327%
Hmso - All Plans $86 - $94 1327%
Tpsc - All Plans $86 - $94 1327%
Travelers - All Plans $86 - $94 1327%
Veterans Admin - All Plans $86 - $94 1327%
Blue Cross Blue Shield $91 - $98 1404%
Cigna $96 - $104 1481%
First Choice - All Plans $97 - $106 1497%
Aetna $101 - $110 1559%
Chp Mcr Adv $108 - $117 1667%
Health Alliance Mcr Adv - All Plans $108 - $117 1667%
Humana $108 - $117 1667%
Molina Mcare $108 - $117 1667%
Wellcare Mcr Adv - All Plans $108 - $117 1667%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals