CMS Price Transparency Data

Blood test, amylase

Facility: Nemours Children's Hospital, Delaware

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $175
  • Cash Discount Price: $326
  • vs. Medicare Baseline: 27.01x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Nemours Children's Hospital, Delaware is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $326. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 27.01x the Medicare baseline. Located in 1600 Rockland Rd Po Box 269, Wilmington, DE.
Cash / Self-Pay
$326

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $326 (5031%)
Insurance Median: $175 (2701%)
Cash: $326 (5031% of Medicare)
Ins. Median: $175 (2701% 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 2701% of the Medicare baseline (a markup of 2601%). 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
Carefirst Md Community Health Plan $6 93%
Priority Partners John Hopkins $6 - $281 93%
Tricare $7 108%
Us Family Health Plan $8 123%
Keystone First Hlth Plan $10 - $253 154%
Celtic Transplant $11 - $572 170%
Amerihealth Caritas Delaware $15 - $326 231%
Blue Cross Blue Shield $15 - $505 231%
Celtic Transplant For De First Health $18 - $200 278%
Delaware First Health $18 - $206 278%
UnitedHealthcare $18 - $357 278%
Wellpoint Maryland $18 - $212 278%
Health Partners $19 - $222 293%
Kidz Partners $19 - $216 293%
Fidelis $20 - $229 309%
Upmc $20 - $227 309%
Aetna $21 - $332 324%
Six Degrees Health Transplant $25 - $286 386%
Ambetter / Centene $28 - $326 432%
Cigna $28 - $360 432%
Great West-One Health Plan $28 - $360 432%
Geisinger Health Plan $30 - $343 463%
Integra Administrative Group $30 - $343 463%
National Transplant Network (Ntn) $32 - $372 494%
Six Degrees Health $32 - $372 494%
Star Healthcare Network $32 - $372 494%
Life Trac Solid Organ And Bmt Transplant $35 - $400 540%
First Health Network $48 - $543 741%
Insurance Administrators Of America $48 - $543 741%
Interlink Transplant Network $48 - $543 741%
Multiplan $48 - $543 741%
Preferred Healthcare $48 - $543 741%
Private Healthcare Systems $48 - $543 741%
Three Rivers Provider Network $48 - $543 741%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Rockland Rd Po Box 269, Wilmington, DE 19899
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens