CMS Price Transparency Data

Blood test, amylase

Facility: Loma Linda University Children's Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $15
Cash Discount Price: $25
vs. Medicare Baseline: 2.31x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Loma Linda University Children's Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.31x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$15

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: $25 (386%)

Insurance Median: $15 (231%)

Cash: $25 (386% of Medicare)

Ins. Median: $15 (231% 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 231% of the Medicare baseline (a markup of 131%). 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
Adventist Health	$2 - $52	31%
Lluh Dept Of Risk Management	$2 - $62	31%
Blue Shield Of California	$4 - $37	62%
Epic Health Plan	$4 - $103	62%
Kaiser Foundation Hospitals	$4 - $172	62%
UnitedHealthcare	$5	77%
Alpha Care Medical Group	$6 - $10	93%
Cigna	$6 - $41	93%
Dignity Health	$6 - $10	93%
Global Benefits Group	$6 - $155	93%
Inland Empire Health Plan (Iehp)	$6 - $10	93%
Networks By Design	$6 - $168	93%
Temecula Valley Physicians Medical Group	$6 - $34	93%
Trivalley Medical Group	$6 - $34	93%
Upland Medical Group	$6	93%
Vantage Medical Group	$6 - $10	93%
Aetna	$7 - $37	108%
Galaxy Health	$8 - $219	123%
Molina Healthcare Of Ca	$8 - $9	123%
Multiplan	$8 - $206	123%
Prime Health Services	$8 - $219	123%
Heritage Provider Network	$11	170%
Blue Cross Blue Shield	$64	988%

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 $25.
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 Loma Linda University Children's 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.