CMS Price Transparency Data

Blood test, amylase

Facility: Boston Children's Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $55
Cash Discount Price: $86
vs. Medicare Baseline: 8.49x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Boston Children's Hospital is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 8.49x the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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: $86 (1327%)

Insurance Median: $55 (849%)

Cash: $86 (1327% of Medicare)

Ins. Median: $55 (849% 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 849% of the Medicare baseline (a markup of 749%). 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
Blue Cross Blue Shield	$23 - $74	355%
Unicare	$26	401%
Cdphp	$29 - $95	448%
Harvard Pilgrim	$30 - $76	463%
Aetna	$35 - $94	540%
United	$35 - $94	540%
Mgb/Allways	$36 - $83	556%
Tufts Public Plan	$36 - $69	556%
Ambetter / Centene	$37 - $71	571%
United Ri Nj Ny	$37 - $71	571%
Carelon Strategies/Bhs	$38 - $73	586%
UnitedHealthcare	$38 - $95	586%
Carelon/Beacon	$44 - $84	679%
Fallon	$45 - $86	694%
Health New England	$48 - $90	741%
Cigna	$50 - $101	772%
Ets/Lifetrac	$50 - $95	772%
Interlink Transplant	$50 - $95	772%
Community Health Options	$53 - $101	818%
Humana	$53 - $101	818%
Coventry/Hcvm/First Health	$54 - $103	833%
Multiplan/Phcs	$54 - $106	833%

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 $86.
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 Boston 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.