CMS Price Transparency Data

Blood test, amylase

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $22
Cash Discount Price: $40
vs. Medicare Baseline: 3.40x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Kapiolani Medical Center for Women & Children is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 3.40x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$22

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: $40 (617%)

Insurance Median: $22 (340%)

Cash: $40 (617% of Medicare)

Ins. Median: $22 (340% 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 340% of the Medicare baseline (a markup of 240%). 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
Alohacare	$6 - $8	93%
Hmsa	$6 - $14	93%
Kaiser	$6 - $61	93%
Mdx	$6 - $23	93%
Devoted	$7	108%
Ohana	$8 - $20	123%
UnitedHealthcare	$9 - $13	139%
Hcha	$13 - $23	201%
Pac Admin	$14	216%
Uha	$14 - $34	216%
Hwmg/Hmaa	$16 - $23	247%
Mimoh	$20 - $52	309%
Calvos	$22 - $52	340%
Multiplan	$23 - $59	355%
Verdegard	$23 - $55	355%
Mccp	$25 - $59	386%
Coventry	$26 - $62	401%

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 $40.
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 Kapiolani Medical Center for Women & Children 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.