CMS Price Transparency Data

Blood test, amylase

Facility: Children's Hospital of Philadelphia

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $144
Cash Discount Price: $278
vs. Medicare Baseline: 22.22x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Children's Hospital of Philadelphia is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $278. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 22.22x the Medicare baseline. Located in 3401 Civic Center Blvd, Philadelphia, PA.

Cash / Self-Pay

$278

Average discount available for prompt cash payment at this facility.

Insurance Median

$144

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: $278 (4290%)

Insurance Median: $144 (2222%)

Cash: $278 (4290% of Medicare)

Ins. Median: $144 (2222% 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 2222% of the Medicare baseline (a markup of 2122%). 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
Geisinger Medical Assistance	$7	108%
Highmark Wholecare	$8	123%
Horizon Nj Health	$16	247%
Medicaid / KanCare	$45 - $151	694%
UnitedHealthcare	$45 - $503	694%
Health Partners	$51 - $172	787%
Aetna	$64 - $457	988%
Upmc Medical Assistance	$74 - $250	1142%
Keystone First Chip	$84 - $284	1296%
Keystone Health Plan East	$86 - $289	1327%
Blue Cross Blue Shield	$96 - $366	1481%
Geisinger Health Plan Commercial	$120 - $402	1852%
Jefferson Health Plans	$129 - $433	1991%
Cigna	$136 - $457	2099%
Highmark	$136 - $457	2099%
Qualcare	$150 - $503	2315%
First Health Network	$177 - $594	2731%
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics	$218 - $732	3364%
Private Health Care Systems	$218 - $732	3364%
Choice Care Network	$245 - $823	3781%

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 $278.
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 Children's Hospital of Philadelphia 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.