CMS Price Transparency Data

Blood test, amylase

Facility: Pennsylvania Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $117
  • Cash Discount Price: $339
  • vs. Medicare Baseline: 18.06x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Pennsylvania Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $339. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 18.06x the Medicare baseline. Located in 800 Spruce Street, Philadelphia, PA.
Cash / Self-Pay
$339

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $339 (5231%)
Insurance Median: $117 (1806%)
Cash: $339 (5231% of Medicare)
Ins. Median: $117 (1806% 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 1806% of the Medicare baseline (a markup of 1706%). 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 - $115 62%
Gateway Health Plan $5 - $8 77%
Medicaid / KanCare $5 - $339 77%
Pa Medical Assistance $5 77%
Blue Cross Blue Shield $6 - $339 93%
Keystone Mercy Health Plan $6 93%
Medicare (plans) $6 - $7 93%
Philadelphia Va Medical Center $6 93%
Upmc $6 - $339 93%
Aetna $7 - $339 108%
Clover Health Plan $7 108%
Geisinger Health Plan $7 - $21 108%
Health Partners $7 - $339 108%
Humana $7 - $271 108%
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 - $339 108%
Us Family Health Plan $7 108%
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 $57 - $60 880%
Pgm - Regie De L'Assurance Maladie Quebec $78 1204%
Preferred Health Care Eliance $88 1358%
Pgm - Kuwait Defense $119 - $153 1836%
Devon $129 - $153 1991%
Qualcare $129 1991%
Coventry $136 - $173 2099%
Pgm - Chop $136 2099%
Wissahickon Hospice $136 2099%
Healthamerica/Coventry $153 - $166 2361%
Olympus $165 2546%
First Health Global $170 2623%
Urn-Cancer Resource Services $170 2623%
Health Net $203 3133%
Pgm - Royal Embassy Of Saudi Arabia $203 3133%
Pgm - Embassy Of Qatar $220 3395%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $220 3395%
Pgm - Embassy Of The United Emirates/Ipc $237 3657%
Devon Health Services Inc $271 4182%
Health America/Ccn $271 4182%
Intergroup $271 4182%
Pgm - Kuwait Health Division $271 4182%
Pgm - Kuwait Oil $271 4182%
Preferred Care $271 4182%
Commercial Other $339 5231%
Community Behavioral Health $339 5231%
International Pfs $339 5231%
Quest Behavioral Health $339 5231%
United Behavioral Health $339 5231%
Workers Compensation $339 5231%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Spruce Street, Philadelphia, PA 19107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals