Blood test, amylase
Facility: Pratt Regional Medical Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $42
- Cash Discount Price: $34
- vs. Medicare Baseline: 6.48x 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 648% of the Medicare baseline (a markup of 548%). 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 |
|---|---|---|
| Christian Health Aid | $31 - $41 | 478% |
| UnitedHealthcare | $34 - $55 | 525% |
| Health Partners Of Kansas | $35 - $46 | 540% |
| Aetna | $37 - $49 | 571% |
| Choicecare | $41 - $54 | 633% |
Consumer Guidance & Cost Commentary
For the blood test code 82150 (Amylase) at Pratt Regional Medical Center in Pratt, KS, the cash median price is $34.00, which is lower than the facility's gross charge of $48.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Aetna range from $34 to $55, these amounts often exceed the cash price. For patients with high-deductible plans or those without insurance, paying the cash median of $34.00 upfront can be more cost-effective than relying on insurance, which may result in higher out-of-pocket costs if the negotiated rate exceeds the cash price. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as paying in full within a specific window can sometimes reduce the final amount owed.
This service is benchmarked against federal standards, where the Medicare amount is $6.48. The facility's cash rate of $34.00 is approximately 5.2 times the Medicare benchmark, reflecting the typical markup found in commercial healthcare pricing. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still request an itemized bill to ensure no unbundled charges or services not rendered are included. If a large bill arrives, consumers should dispute any errors in writing rather than accepting summary invoices, as over 80% of hospital bills contain errors that can be corrected through a formal audit.