CMS Price Transparency Data

Blood test, amylase

Facility: UPMC Presbyterian Shadyside

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $94
Cash Discount Price: $194
vs. Medicare Baseline: 14.51x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at UPMC Presbyterian Shadyside is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $194. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 14.51x the Medicare baseline. Located in 200 Lothrop Street, Pittsburgh, PA.

Cash / Self-Pay

$194

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $194 (2994%)

Insurance Median: $94 (1451%)

Cash: $194 (2994% of Medicare)

Ins. Median: $94 (1451% 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 1451% of the Medicare baseline (a markup of 1351%). 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
Health Partners Plans (Jefferson Health Plan)	$5	77%
Aetna	$6 - $7	93%
UnitedHealthcare	$6 - $7	93%
Upmc Health Plan	$6 - $13	93%
Upmc Work Partners	$6	93%
Amerihealth Caritas	$7 - $8	108%
Cigna	$7	108%
Highmark Wholecare (Prev Gateway)	$7	108%
Multiplan	$7 - $422	108%
Pa Health & Wellness	$7 - $9	108%
Geisinger	$8	123%
Blue Cross Blue Shield	$13 - $56	201%
Preferred Healthcare System	$77 - $343	1188%
Coventry/First Health	$83 - $369	1281%
Fidelis	$88 - $395	1358%
Intergroup	$88 - $448	1358%
Health Coalition Partners	$94 - $422	1451%
Private Health Care Systems	$94 - $422	1451%
Selectcare	$94 - $422	1451%
Health Payors Organization	$100 - $448	1543%
Humana	$100 - $448	1543%

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 $194.
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 UPMC Presbyterian Shadyside 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.