CMS Price Transparency Data

Blood test, amylase

Facility: Nationwide Children's Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $72
Cash Discount Price: $72
vs. Medicare Baseline: 11.11x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Nationwide Children's Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 11.11x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $72 (1111%)

Insurance Median: $72 (1111%)

Cash: $72 (1111% of Medicare)

Ins. Median: $72 (1111% 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 1111% of the Medicare baseline (a markup of 1011%). 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
Caresource	$8 - $38	123%
UnitedHealthcare	$12 - $77	185%
Mmo	$15 - $70	231%
Aetna	$16 - $77	247%
Ohg	$16 - $73	247%
Ohio Ppo Connect	$16 - $75	247%
Osu	$16 - $75	247%
Ahpo	$17 - $76	262%
Blue Cross Blue Shield	$17 - $76	262%
Cigna	$17 - $76	262%
Front Path Health Coalition	$17 - $76	262%
Humana	$17 - $77	262%
Ohc	$17 - $75	262%
The Health Plan	$17 - $78	262%
Unicare	$17 - $77	262%
Amerihealth	$18	278%
Bchp	$18	278%
Emerald Health	$18 - $79	278%
First Health	$18 - $79	278%
Molina	$18	278%
Phcs	$18 - $79	278%

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 $72.
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 Nationwide 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.