CMS Price Transparency Data

Blood test, amylase

Facility: Texas Orthopedic Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $7
  • Cash Discount Price: $1,287
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Texas Orthopedic Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,287. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 1.08x the Medicare baseline. Located in 7401 South Main Street, Houston, TX.
Cash / Self-Pay
$1,287

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $1,287 (19861%)
Insurance Median: $7 (108%)
Cash: $1,287 (19861% of Medicare)
Ins. Median: $7 (108% 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.

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
Amerigroup $5 - $6 77%
Community Health Choice Mcd $5 77%
Texas Childrens Health Plans $5 - $214 77%
Texas Health Network $5 77%
Aetna $6 - $37 93%
Blue Cross Blue Shield $6 - $450 93%
Cigna $6 - $34 93%
Devoted Health $6 93%
Humana $6 - $87 93%
Kelsey Seybold $6 93%
Molina Healthcare $6 - $14 93%
Oscar $6 - $19 93%
Triwest Healthcare Alliance $6 93%
United $6 - $579 93%
Wellmed $6 93%
American Health Plan $7 108%
Christus (Usfhp) $7 108%
Integranet Amerigroup Ipa $7 108%
Molina $7 108%
Procare Advantage $7 108%
Provider Partners Health Plan Of Texas $7 108%
Shared Health $7 108%
Superior Health Plan $7 - $77 108%
Van Lang Ipa $7 108%
Wellcare $7 108%
Universal Healthcare Group $8 123%
Verda Health Plan $8 123%
Community Health Choice $9 139%
Superior $9 - $10 139%
Corvel Corporation $13 201%
Omni Healthcare $14 216%
Healthcare Highways $19 293%
Texas Workforce Commission $309 4769%
Evry Health $351 5417%
Imagine Health $450 6944%
Healthsmart Preferred Care $553 - $1,094 8534%
Averde Health $579 8935%
Fidelis Securecare Of Tx $579 8935%
Coventry National First Health $686 10586%
Physicians Cooperative Of Texas $708 10926%
Rockport Workers Comp $708 10926%
Independent Medical System $772 11914%
National Healthcare Solutions $772 11914%
Southwest Medical $772 11914%
Coastal Comp $837 12917%
Multiplan $965 - $1,094 14892%
International Health Insurance $1,030 15895%
Physicians, Inc $1,094 16883%
Affiliated Ppo $1,158 17870%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7401 South Main Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals