Blood test, amylase
Facility: Mcpherson Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $71
- Cash Discount Price: $65
- vs. Medicare Baseline: 10.96x 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 1096% of the Medicare baseline (a markup of 996%). 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 |
|---|---|---|
| Humana | $6 | 93% |
| Wellcare Mcr Adv - All Plans | $6 | 93% |
| Tricare | $6 | 93% |
| Blue Cross Blue Shield | $6 | 93% |
| UnitedHealthcare | $6 - $155 | 93% |
| Va Ccn - All Plans | $6 | 93% |
| Healthy Blue Mcr Adv | $6 | 93% |
| Ambetter / Centene | $7 | 108% |
| Wppa - All Plans | $22 - $108 | 340% |
| Medical Associates - All Plans | $23 - $116 | 355% |
| Central Plains - All Plans | $23 - $116 | 355% |
| Christian Health Aid - All Plans | $25 - $124 | 386% |
| Aetna | $26 - $155 | 401% |
| Multiplan - All Plans | $28 - $140 | 432% |
| Health Partners - All Plans | $29 - $147 | 448% |
| Cigna | $29 - $147 | 448% |
| First Health - All Plans | $29 - $147 | 448% |
| Medicaid / KanCare | $31 - $155 | 478% |
| Health Blue Mcaid - All Other Plans | $32 - $158 | 494% |
Consumer Guidance & Cost Commentary
For the blood test code 82150 (Amylase) at McPherson Hospital in McPherson, KS, the facility's cash median rate of $65.00 is notably lower than the state average of $69.00. While the hospital's negotiated rates with major payers like UnitedHealthcare and Aetna range from $6 to $155, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. 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, unexpected ancillary charges can still occur; therefore, patients should request a full itemized bill to verify all line items before agreeing to any payment plan or signing consent waivers that could waive their right to dispute charges.
The facility's cash rate of $65.00 is also lower than the Medicare benchmark of $6.48 when adjusted for the facility's specific cost structure, though commercial negotiated rates typically average 200% to 300% of Medicare, with fair pricing generally defined between 120% and 150%. To maximize savings, patients should explicitly ask about prompt-pay discounts, which can reduce bills by 20% to 50% if paid upfront, bypassing the administrative costs associated with insurance claims processing. Since over 80% of hospital bills contain errors, consumers are advised to demand a detailed, CPT-coded statement rather than accepting a summary invoice, and to formally dispute any discrepancies in writing to ensure accurate billing.