Blood test, amylase
Facility: Stormont Vail Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $20
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.09x 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 309% of the Medicare baseline (a markup of 209%). 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 | $7 | 108% |
| Blue Cross Blue Shield | $7 - $25 | 108% |
| Ambetter / Centene | $7 | 108% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Stormont Vail Hospital in Topeka, KS, the facility's negotiated payment rate of $20.00 is significantly lower than the state average of $20.00, indicating this facility is pricing at the baseline for the region. However, the median amount paid by insurance plans is $15,750.00, which is 3.1 times higher than the Medicare benchmark of $6.48. This substantial markup suggests that while the facility adheres to state-level negotiated caps, the administrative costs and contract structures associated with commercial insurance result in a much higher final cost for members compared to the federal baseline.
Patients should be aware that paying cash or self-pay may offer a more affordable option, as the cash median is not listed but the facility offers prompt-pay discounts that can reduce the total cost. Since the insurance negotiated rate is already set at the state average, there is no room for further reduction through standard network pricing, making direct payment with a prompt-pay discount the most effective way to lower the bill. It is recommended to contact the hospital directly to confirm self-pay rates and request a waiver of insurance submission to avoid automatic claims processing, which could void any potential cash savings.