CMS Price Transparency Data

Blood test, amylase

Facility: Penn Presbyterian Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $86
  • Cash Discount Price: $245
  • vs. Medicare Baseline: 13.27x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Penn Presbyterian Medical Center is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 13.27x the Medicare baseline. Located in 51 North 39Th Street, Philadelphia, PA.
Cash / Self-Pay
$245

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $245 (3781%)
Insurance Median: $86 (1327%)
Cash: $245 (3781% of Medicare)
Ins. Median: $86 (1327% 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 1327% of the Medicare baseline (a markup of 1227%). 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
Cigna $4 - $78 62%
Medicaid / KanCare $5 - $245 77%
Pa Medical Assistance $5 77%
Blue Cross Blue Shield $6 - $245 93%
Keystone Mercy Health Plan $6 - $245 93%
Medicare (plans) $6 - $7 93%
Philadelphia Va Medical Center $6 93%
Upmc $6 - $245 93%
Aetna $7 - $245 108%
Clover Health Plan $7 108%
Geisinger Health Plan $7 - $21 108%
Health Partners $7 - $245 108%
Humana $7 - $196 108%
Ibc $7 108%
Keystone First $7 108%
Pa Health And Wellness $7 - $11 108%
Penn Life (Living Independently For Elders) $7 108%
Tricare $7 108%
UnitedHealthcare $7 - $245 108%
Us Family Health Plan $7 108%
Gateway Health Plan $8 123%
Elap $9 139%
Claims Watcher $10 - $12 154%
Ibc Commercial Hpn $11 170%
Oscar Health Plan $11 170%
Centivo $12 185%
Elap Services $12 185%
Keystone Hmo Proactive $12 185%
Highmark $14 216%
Penn Global Medicine $17 262%
Horizon Nj Health $41 - $43 633%
Pgm - Regie De L'Assurance Maladie Quebec $56 864%
Preferred Health Care Eliance $61 941%
Pgm - Kuwait Defense $86 - $110 1327%
Devon $93 - $110 1435%
Qualcare $93 1435%
Coventry $98 - $125 1512%
Pgm - Chop $98 1512%
Wissahickon Hospice $98 1512%
Healthamerica/Coventry $110 - $120 1698%
Olympus $116 1790%
First Health Global $122 1883%
Urn-Cancer Resource Services $122 1883%
Health Net $147 2269%
Pgm - Royal Embassy Of Saudi Arabia $147 2269%
Pgm - Embassy Of Qatar $159 2454%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $159 2454%
Pgm - Embassy Of The United Emirates/Ipc $172 2654%
Devon Health Services Inc $196 3025%
Health America/Ccn $196 3025%
Intergroup $196 3025%
Pgm - Kuwait Health Division $196 3025%
Pgm - Kuwait Oil $196 3025%
Preferred Care $196 3025%
Commercial Other $245 3781%
International Pfs $245 3781%
Magellan $245 3781%
Quest Behavioral Health $245 3781%
United Behavioral Health $245 3781%
Workers Compensation $245 3781%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 51 North 39Th Street, Philadelphia, PA 19104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals