Blood test, amylase
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $11
- Cash Discount Price: $91
- vs. Medicare Baseline: 1.70x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Halo Hcr Inc Hospice Contracted [320432] | $6 | 93% |
| Kindful Hospice [20434] | $6 | 93% |
| Medicaid / KanCare | $6 - $11 | 93% |
| Medicare (plans) | $6 | 93% |
| Pace Of The Ozarks Contracted [320518] | $6 | 93% |
| Kindful Hospice Contracted [320434] | $6 | 93% |
| Dept Of Veteran Affairs Contracted [320106] | $6 | 93% |
| Elara Caring Aspire Hospice [20433] | $6 | 93% |
| Aetna | $6 - $119 | 93% |
| UnitedHealthcare | $6 - $94 | 93% |
| Medica Contracted [320239] | $6 | 93% |
| Blue Cross Blue Shield | $6 - $30 | 93% |
| Cross Timbers Hospice [20098] | $6 | 93% |
| Humana | $6 | 93% |
| Tricare | $6 | 93% |
| Halo Hcr Inc Hospice [20432] | $6 | 93% |
| Mercy Hospice Okc [20252] | $6 | 93% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $7 | 108% |
| Health Choice Contracted [320166] | $9 | 139% |
| Home State Health Plan Contracted [320187] | $11 | 170% |
| Ambetter / Centene | $11 | 170% |
| Providrs Care Network Contracted [320484] | $12 | 185% |
| Cigna | $36 - $37 | 556% |
| United Medical Resources Contracted [320454] | $94 | 1451% |
| Workers Comp [20426] | $112 | 1728% |
| Yuzu Health Contracted [320521] | $112 | 1728% |
| Ebms Contracted [320493] | $112 | 1728% |
| Healthlink Contracted [320179] | $112 | 1728% |
| Mercy Benefit Admin Contracted [320251] | $112 | 1728% |
| American Healthcare Alliance Contracted [320020] | $112 | 1728% |
| Edison Health Solutions Contracted [320502] | $112 | 1728% |
| Aither Health Contracted [320449] | $112 | 1728% |
| Reflect Health Contracted [320492] | $112 | 1728% |
| Auxiant Contracted [320462] | $112 | 1728% |
| Imagine 360 Contracted [320494] | $112 | 1728% |
| First Health Contracted [320128] | $119 | 1836% |
Consumer Guidance & Cost Commentary
For the blood test code 82150 (Amylase) at Mercy Hospital Pittsburg, Inc., the facility's cash price of $91.00 is significantly lower than the median negotiated rate of $119.00 paid by most insurance plans. While the facility's cash rate is 1.7 times the Medicare benchmark of $6.48, indicating a standard markup, patients with high-deductible plans may find paying the cash price upfront more cost-effective than relying on insurance, which often results in higher out-of-pocket costs due to administrative fees and claim processing delays. It is important to note that while the facility offers a cash rate, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling to ensure they are not automatically enrolled in the higher insurance billing cycle, which can void any upfront payment incentives.
The facility's negotiated rates vary widely among payers, ranging from $6.00 for some plans to $119.00 for others, with a median of $11.00 for negotiated amounts that appears to reflect specific plan allowances rather than a uniform rate. This disparity highlights the importance of verifying your specific plan's allowed amount before receiving care, as assuming that being in-network guarantees the lowest price can lead to unexpected costs if your deductible has not yet been met. To avoid balance billing or surprise charges, patients should review their itemized bill line-by-line to identify any unbundled codes or services not rendered, and formally dispute any errors in writing rather than accepting summary invoices that obscure individual charges.