CMS Price Transparency Data

Blood test, amylase

Facility: Astria Sunnyside Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $19
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 2.93x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Astria Sunnyside Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.93x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $58 (895%)
Insurance Median: $19 (293%)
Cash: $58 (895% of Medicare)
Ins. Median: $19 (293% 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 293% of the Medicare baseline (a markup of 193%). 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
Medicaid / KanCare $5 - $56 77%
Molina $5 - $45 77%
Aetna $6 - $162 93%
Healthcomp_Ihs $6 93%
Humana $6 - $166 93%
Medicare (plans) $6 - $7 93%
Va $6 93%
Tricare $7 108%
Regence $11 - $95 170%
Cigna $13 - $110 201%
Li $13 - $113 201%
First_Choice $16 - $138 247%
Kaiser $16 - $144 247%
Tpsc $16 - $144 247%
Premera $17 - $150 262%
Fhpw $18 - $162 278%
UnitedHealthcare $18 - $156 278%
Healthcomp $19 - $166 293%
Bcchp $21 - $184 324%
Great_Rivers $21 - $184 324%
Zenith $21 - $184 324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1016 Tacoma Avenue, Sunnyside, WA 98944
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals