Blood test, amylase
Facility: St. Catherine Hospital - Garden City
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $51
- Cash Discount Price: $76
- vs. Medicare Baseline: 7.87x 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 787% of the Medicare baseline (a markup of 687%). 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 |
|---|---|---|
| Medicare (plans) | $6 | 93% |
| Devoted Health | $6 | 93% |
| Humana | $6 | 93% |
| Innovage | $6 | 93% |
| Cigna | $6 - $8 | 93% |
| Aetna | $6 - $56 | 93% |
| Kaiser | $6 - $99 | 93% |
| UnitedHealthcare | $6 - $41 | 93% |
| Blue Cross Blue Shield | $6 - $30 | 93% |
| Kansas Health | $6 | 93% |
| Centura Employee Plan | $8 | 123% |
| United Colorado Doctor'S Plan | $10 | 154% |
| Direct To Employer | $11 - $144 | 170% |
| Wpaa | $38 - $47 | 586% |
| Christian Health Aid | $43 - $54 | 664% |
| Multiplan | $48 - $306 | 741% |
| Health Partners Of Kansas | $52 - $65 | 802% |
| Denver Health | $74 - $85 | 1142% |
| Peak Health | $122 - $140 | 1883% |
Consumer Guidance & Cost Commentary
For the blood test code 82150 (Amylase) at St. Catherine Hospital in Garden City, Kansas, the cash median price is $76.00, which is significantly lower than the facility's negotiated rates with most insurers. While Medicare reimburses $6.48 for this service, commercial payers negotiate rates ranging from $6 to $306, with many plans settling between $43 and $85. For patients with high-deductible plans, paying the cash price of $76.00 upfront can be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront incentives can further reduce the final cost.
When evaluating the financial impact of this procedure, it is important to compare the facility's pricing against the Medicare benchmark rather than the hospital's gross charge. The Medicare rate of $6.48 serves as the objective baseline for fair pricing, with commercial negotiated rates typically averaging 200% to 300% of this amount. Although the facility's negotiated median is $51.00, patients should be aware that balance billing could occur if services are rendered out-of-network, though the No Surprises Act protects against surprise bills for emergency care and non-emergency services at in-network facilities. To ensure accuracy, patients should request a detailed, itemized bill to verify that all charges align with the specific CPT code and that no unbundled services or errors have inflated the total.