Blood test, amylase
Facility: Nmc Health
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $38
- Cash Discount Price: $41
- vs. Medicare Baseline: 5.86x 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 586% of the Medicare baseline (a markup of 486%). 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 |
|---|---|---|
| Aetna | $20 | 309% |
| Blue Cross Blue Shield | $25 | 386% |
| Wppa | $32 | 494% |
| Occunet | $35 | 540% |
| Samaritan Ministries International | $38 | 586% |
| Medincrease Health Plan | $38 | 586% |
| Prime Health Services | $44 | 679% |
| UnitedHealthcare | $52 - $53 | 802% |
| Cigna | $55 - $56 | 849% |
Consumer Guidance & Cost Commentary
For CPT code 82150, a blood test for amylase at Nmc Health in Newton, Kansas, the facility's cash median price is $41.00, which is 5.9% higher than the state average. While commercial payers negotiate rates ranging from $20 to $56 depending on the plan, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the $41.00 cash median is lower than the negotiated rates for most insurers listed, such as UnitedHealthcare and Cigna. It is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed before any insurance claims are processed.
When evaluating this service, it is important to compare the facility's pricing against the Medicare benchmark rather than the hospital's gross chargemaster list. The Medicare amount for this procedure is $6.48, which serves as a scientifically validated baseline for the true cost of delivery, whereas commercial negotiated rates typically average 200% to 300% of this figure. Although the facility is a voluntary non-profit acute care hospital with a high rating, patients should verify their specific deductible status before scheduling, as paying the negotiated rate without meeting the deductible could result in higher out-of-pocket costs than paying cash. Additionally, if you have a balance bill from an out-of-network lab or physician, you may be entitled to protections under the No Surprises Act, so always request an itemized bill to identify any unbundled codes or services not rendered.