Blood test, amylase

For the CPT code 82150, representing a blood test for amylase, the University of Kansas Hospital lists a gross charge of $159.00. While the facility offers a cash median price of $32.00, which is significantly lower than the negotiated rates paid by insurance plans ranging from $29 to $208, patients with high-deductible plans may find that paying out-of-pocket is more cost-effective than relying on insurance. The facility's negotiated rates average $89.00, which is higher than the cash price but often lower than the full chargemaster. It is important to note that commercial rates can sometimes exceed cash prices due to administrative overhead and contract dynamics, so patients should verify their specific plan's allowed amount before scheduling. Additionally, the facility offers a prompt-pay discount for upfront payments, which can further reduce the final bill for those choosing to pay directly.

The facility's pricing structure is subject to federal protections regarding balance billing, particularly under the No Surprises Act, which bans surprise bills for out-of-network services at in-network facilities. Patients should be aware that while the hospital is an in-network provider for many payers, unexpected ancillary services or out-of-network physicians could theoretically trigger balance billing, though this is restricted for emergency and non-emergency care at this location. To ensure accuracy, patients are encouraged to request an itemized billing audit before paying any invoice, as summary bills often obscure individual line items and potential errors. Furthermore, since the facility is a government-owned acute care hospital in Kansas City, KS, patients should confirm their specific self-pay or prompt-pay rates directly with the billing department, as these discounts are not always automatically