CMS Price Transparency Data

Blood test, amylase

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $48
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 7.41x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Cincinnati Children's Hospital Medical Center is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 7.41x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $31 (478%)
Insurance Median: $48 (741%)
Cash: $31 (478% of Medicare)
Ins. Median: $48 (741% 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 741% of the Medicare baseline (a markup of 641%). 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 $6 - $90 93%
Humana $6 - $18 93%
Passport_Ky $7 108%
United_Health_Care_Ky $7 108%
Wellcare_Ky $7 108%
Blue Cross Blue Shield $8 - $93 123%
Mhs_In $8 123%
Caresource_In $9 139%
Caresource_Oh_Insurance $13 - $46 201%
Cigna $13 - $90 201%
Medical_Mutual_Of_Ohio_Insurance $17 - $90 262%
Caresource_Oh $18 278%
Point_Comfort_Insurance $18 - $62 278%
United_Health_Care_Oh $18 278%
Amerihealth_Caritas_Oh $19 293%
Molina_Oh $19 293%
Buckeye_Oh $20 309%
Margaret_Mary_Health_Insurance $21 - $74 324%
Parkview_Signature_Care_Insurance $21 - $74 324%
United_Health_Care_Insurance $24 - $85 370%
Health_Ohio_Network_Insurance $25 - $90 386%
Beechstreet_Insurance $26 - $93 401%
Custom_Design_Benefits_Insurance $26 - $90 401%
First_Health_Group_Insurance $26 - $93 401%
Health_Link_Insurance $26 - $93 401%
Health_Smart_Preferred_Insurance $26 - $90 401%
Medical_Benefit_Administrators_Insurance $26 - $90 401%
Ohio_Health_Choice_Insurance $26 - $90 401%
Private_Health_Care_Systems_Insurance $26 - $91 401%
Evolutions_Health_Care_Systems $27 - $95 417%
Galaxy_Health_Insurance $27 - $95 417%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens