Blood test, amylase
Facility: Susan B Allen Memorial Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $554
- Cash Discount Price: $27
- vs. Medicare Baseline: 85.49x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 8549% of the Medicare baseline (a markup of 8449%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $350 | 5401% |
| Providrs Care | $757 | 11682% |
Consumer Guidance & Cost Commentary
For the CPT code 82150 (Blood test, amylase) at Susan B Allen Memorial Hospital in El Dorado, KS, the facility's cash median price is $27.00, which is significantly lower than the negotiated rates of $350.00 and $757.00 charged by UnitedHealthcare and Providrs Care, respectively. While the facility's cash rate is notably lower than the state average, patients with high-deductible plans should consider that paying cash upfront could save money if their insurance negotiated rate exceeds the cash price. It is important to note that commercial negotiated rates often include administrative overhead and are typically 200% to 300% of the Medicare benchmark rate of $6.48 for this service, meaning the cash price represents a much more direct cost basis.
To minimize unexpected costs, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the costly insurance billing cycle and administrative fees. If a patient receives a bill from an out-of-network provider or encounters unexpected charges, they should request a formal itemized billing audit to identify errors, double-billing, or unbundled codes, as over 80% of hospital bills contain inaccuracies. Under the No Surprises Act, patients are protected from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, so any surprise bill should be disputed with the insurer rather than paid immediately.