CMS Price Transparency Data

Blood test, amylase

Facility: Adventist Health Castle

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $17
Cash Discount Price: $32
vs. Medicare Baseline: 2.62x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Adventist Health Castle is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.62x the Medicare baseline. Located in 640 Ulukahiki St, Kailua, HI.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $32 (494%)

Insurance Median: $17 (262%)

Cash: $32 (494% of Medicare)

Ins. Median: $17 (262% 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 262% of the Medicare baseline (a markup of 162%). 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
Pacific Admin Ppo - All Plans	$1 - $14	15%
Uni Health Alliance - All Plans	$1 - $14	15%
Alohacare Quest Mcaid - All Other Plans	$5 - $55	77%
Kfh Mcr Adv	$6	93%
Medicare (plans)	$6	93%
Devoted Hlth Mcr Adv - All Plans	$7	108%
Ohana Health Plan - All Plans	$7	108%
UnitedHealthcare	$9	139%
Multiplan Hmn - All Plans	$10	154%
Hmsa Hmo	$14	216%
Hmsa Ppo - All Other Plans	$14	216%
Hwmg/Hmaa - All Plans	$14 - $163	216%
Health Alliance - All Plans	$15 - $178	231%
Mdx Hawaii Ppo - All Plans	$15 - $177	231%
Kfh - All Other Plans	$16 - $189	247%
First Health Ppo - All Plans	$18 - $209	278%
Medicaid / KanCare	$19 - $222	293%
State Of Hi Nonprofit - All Plans	$33 - $388	509%

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 $32.
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 Adventist Health Castle 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.