CMS Price Transparency Data

Blood test, amylase

Facility: UPMC Passavant

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $22
  • Cash Discount Price: $164
  • vs. Medicare Baseline: 3.40x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at UPMC Passavant is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 3.40x the Medicare baseline. Located in 9100 Babcock Boulevard, Pittsburgh, PA.
Cash / Self-Pay
$164

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: $164 (2531%)
Insurance Median: $22 (340%)
Cash: $164 (2531% 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.

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
Health Plan Of Upper Ohio Valley $6 - $126 93%
UnitedHealthcare $6 - $7 93%
Upmc Health Plan $6 - $12 93%
Upmc Work Partners $6 93%
Aetna $7 108%
Amerihealth Caritas $7 - $8 108%
Highmark Wholecare (Prev Gateway) $7 108%
Pa Health & Wellness $7 - $9 108%
Private Health Care Systems $7 - $254 108%
Blue Cross Blue Shield $13 - $59 201%
Cigna $93 - $109 1435%
Coventry/First Health $191 2948%
Intergroup $227 - $246 3503%
Humana $232 - $254 3580%
Multiplan $232 - $254 3580%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9100 Babcock Boulevard, Pittsburgh, PA 15237
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals