CMS Price Transparency Data

Blood test, amylase

Facility: Forks Community Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $76
Cash Discount Price: $103
vs. Medicare Baseline: 11.73x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Forks Community Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 11.73x the Medicare baseline. Located in 530 Bogachiel Way, Forks, WA.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $103 (1590%)

Insurance Median: $76 (1173%)

Cash: $103 (1590% of Medicare)

Ins. Median: $76 (1173% 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 1173% of the Medicare baseline (a markup of 1073%). 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
UnitedHealthcare	$6 - $143	93%
Medicaid / KanCare	$31 - $62	478%
Coordinated Care (Mco) Mcd-All Plans	$33 - $63	509%
Community Health Network Mcr-All Other Plans	$40 - $76	617%
Humana	$40 - $76	617%
Tricare	$40 - $76	617%
Triwest-All Plans	$40 - $76	617%
Ambetter / Centene	$46 - $88	710%
Wellcare Med Adv - All Plans	$46 - $88	710%
Regence-All Other Plans	$51 - $97	787%
Community Health Exchange	$58 - $109	895%
Molina Commercial-All Other Plans	$82 - $155	1265%
Aetna	$85 - $160	1312%
Blue Cross Blue Shield	$85 - $160	1312%
Cigna	$89 - $168	1373%
First Choice-All Plans	$89 - $168	1373%
Medicare (plans)	$318	4907%

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 $103.
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 Forks Community Hospital 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.