CMS Price Transparency Data

Blood test, amylase

Facility: HCA Houston Healthcare Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $19
  • Cash Discount Price: $663
  • vs. Medicare Baseline: 2.93x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at HCA Houston Healthcare Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $663. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 2.93x the Medicare baseline. Located in 1313 Hermann Dr, Houston, TX.
Cash / Self-Pay
$663

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $663 (10231%)
Insurance Median: $19 (293%)
Cash: $663 (10231% of Medicare)
Ins. Median: $19 (293% 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 293% of the Medicare baseline (a markup of 193%). 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
Superior Health Plan $2 - $62 31%
United $4 - $465 62%
Community Health Choice Mcd $5 77%
Aetna $6 - $43 93%
Blue Cross Blue Shield $6 - $362 93%
Cigna $6 - $34 93%
Devoted Health $6 93%
Humana $6 - $87 93%
Molina Healthcare $6 - $14 93%
Oscar $6 - $19 93%
Triwest Healthcare Alliance $6 93%
American Health Plan $7 108%
Christus (Usfhp) $7 108%
Evry Health $7 - $282 108%
Integranet Amerigroup Ipa $7 108%
Molina $7 108%
Procare Advantage $7 108%
Provider Partners Health Plan Of Texas $7 108%
Shared Health $7 108%
Triwest Health Alliance $7 108%
Van Lang Ipa $7 108%
Wellcare $7 108%
Wellmed $7 108%
Verda Health Plan $8 123%
Community Health Choice $9 139%
Superior $9 - $10 139%
Coventry National First Health $14 - $551 216%
Healthcare Highways $19 293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1313 Hermann Dr, Houston, TX 77004
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals