Blood test, amylase
Facility: Lmh
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $7
- Cash Discount Price: $55
- vs. Medicare Baseline: 1.08x 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.
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 |
|---|---|---|
| Cigna | $6 - $147 | 93% |
| Medicare (plans) | $6 | 93% |
| Blue Cross Blue Shield | $6 - $142 | 93% |
| Humana | $6 | 93% |
| Haskell Indian Health Services | $6 | 93% |
| UnitedHealthcare | $6 - $46 | 93% |
| Allwell | $7 | 108% |
| Aetna | $7 - $183 | 108% |
| Ambetter / Centene | $10 | 154% |
| Non Contracted | $176 | 2716% |
| First Health | $205 | 3164% |
Consumer Guidance & Cost Commentary
For CPT code 82150, a blood test for amylase, the facility in Lawrence, KS, lists a cash median price of $55.00, which is significantly lower than the gross charge of $220.00. While the data does not provide a specific county or state average for this procedure, the facility's cash rate is notably lower than the median negotiated rate of $7.00 paid by insurers like Humana and Haskell Indian Health Services. This price difference highlights that paying out-of-pocket can sometimes be more economical for patients with high-deductible plans, as the cash price avoids the administrative markup and claim processing fees inherent in insurance billing cycles. Patients should verify if their specific plan has a deductible that would otherwise require them to pay the higher negotiated amount before deciding on payment method.
The facility's pricing structure also reveals important context regarding Medicare and out-of-network billing. The Medicare benchmark for this service is $6.48, indicating that the cash price of $55.00 represents a markup relative to the federal baseline, though it remains substantially lower than the gross charges. For patients concerned about balance billing, it is important to note that the No Surprises Act generally protects against unexpected bills for out-of-network services at in-network facilities, though emergency ancillary services may still trigger separate billing. To ensure transparency, patients should request an itemized bill before paying, as summary invoices can obscure individual code costs. Additionally, asking the hospital about "self-pay" or "prompt-pay" discounts prior to scheduling can help secure the lowest possible rate, potentially bypassing the full cost of insurance claims processing.