CMS Price Transparency Data

Blood test, amylase

Facility: West Kendall Baptist Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $28
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 4.32x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at West Kendall Baptist Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 4.32x the Medicare baseline. Located in 9555 Sw 162 Ave, Miami, FL.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $41 (633%)
Insurance Median: $28 (432%)
Cash: $41 (633% of Medicare)
Ins. Median: $28 (432% 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 432% of the Medicare baseline (a markup of 332%). 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
Aetna $3 - $409 46%
Amerigroup $3 46%
Medicaid / KanCare $3 46%
Sunshine State $3 46%
UnitedHealthcare $3 - $511 46%
Vista $3 46%
Wellcare $3 46%
Blue Cross Blue Shield $5 - $331 77%
Medicare (plans) $6 - $9 93%
Avmed $7 - $249 108%
Cigna $7 - $409 108%
Humana $7 108%
Leon Medical $7 108%
Medica Health Plan $7 108%
Non Contracted $11 - $188 170%
Amerihealth $14 - $230 216%
International $20 - $332 309%
Dimension Health Plan $23 - $460 355%
Affordable $28 - $460 432%
Phcs $28 - $460 432%
Quality Health $28 - $460 432%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9555 Sw 162 Ave, Miami, FL 33196
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals