CMS Price Transparency Data

Blood test, amylase

Facility: Reston Hospital Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $109
Cash Discount Price: $521
vs. Medicare Baseline: 16.82x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Reston Hospital Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $521. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 16.82x the Medicare baseline. Located in 1850 Town Center Parkway, Reston, VA.

Cash / Self-Pay

$521

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $521 (8040%)

Insurance Median: $109 (1682%)

Cash: $521 (8040% of Medicare)

Ins. Median: $109 (1682% 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 1682% of the Medicare baseline (a markup of 1582%). 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
Devoted	$6	93%
Humana	$6 - $7	93%
Johns Hopkins	$6	93%
Sentara Health	$6	93%
United	$6 - $241	93%
Aetna	$7	108%
Align Senior Care	$7	108%
Blue Cross Blue Shield	$7 - $34	108%
Cigna	$7 - $26	108%
Clear Spring Health Plan	$7	108%
Davita Village Health	$7	108%
Pyramid Life	$7	108%
Virginia Premier Health	$7	108%
Bright Health	$14	216%
Carefirst	$37	571%
Lifeworks	$94 - $102	1451%
Universal Healthcare Group	$109 - $118	1682%
Greenvbrier Sporting Club	$298 - $322	4599%
Virginia Health Network	$352 - $381	5432%
Corvel	$357 - $386	5509%
Occunet Workers Comp	$397 - $429	6127%
4Most Health Network	$447 - $482	6898%

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 $521.
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 Reston Hospital 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.