CMS Price Transparency Data

Blood test, amylase

Facility: Cook Childrens Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $99
Cash Discount Price: $166
vs. Medicare Baseline: 15.28x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Cook Childrens Medical Center is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 15.28x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$99

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: $166 (2562%)

Insurance Median: $99 (1528%)

Cash: $166 (2562% of Medicare)

Ins. Median: $99 (1528% 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 1528% of the Medicare baseline (a markup of 1428%). 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
Health Plan W. Uhrip	$5 - $127	77%
Aetna	$6 - $284	93%
Beacon	$6 - $80	93%
El Paso Health First	$6	93%
Health Plan W/O Uhrip	$6 - $80	93%
Tx Children Health	$6	93%
Blue Cross Blue Shield	$7 - $300	108%
Firstcare	$7 - $267	108%
Molina	$7	108%
Rightcare	$7 - $112	108%
Superior Health	$7	108%
United Community	$7	108%
Wellpoint	$7	108%
UnitedHealthcare	$75 - $284	1157%
S&W Health	$143 - $280	2207%
Cigna	$145 - $284	2238%
Healthscope	$145 - $284	2238%
Imagine Health	$145 - $284	2238%
Humana	$148 - $294	2284%
Multiplan	$148 - $290	2284%
First Health	$150 - $294	2315%
Galaxy Health	$153 - $300	2361%
Healthsmart	$153 - $300	2361%
Usamco	$157 - $307	2423%

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 $166.
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 Cook Childrens Medical Center 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.