Blood test, amylase
Facility: Providence Medical Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $7
- Cash Discount Price: $6
- 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 |
|---|---|---|
| Aetna | $6 - $11 | 93% |
| Blue Cross Blue Shield | $6 - $16 | 93% |
| Medicare (plans) | $6 | 93% |
| Cigna | $6 | 93% |
| Tricare | $6 | 93% |
| UnitedHealthcare | $6 - $11 | 93% |
| Midland Care Connection | $6 | 93% |
| Medicaid / KanCare | $6 | 93% |
| Celtic | $7 - $10 | 108% |
| Healthy Blue | $7 | 108% |
| Kansas Superior Select | $7 | 108% |
| Corizon | $8 | 123% |
| Employer Direct Healthcare | $9 | 139% |
| Well Path Prison | $9 | 139% |
| Naphcare | $10 | 154% |
| Centurion | $10 | 154% |
| Comp Alliance - Fka Compresults Worker Compensation | $13 | 201% |
| Worker Compensation | $14 | 216% |
| Oha Networks | $14 | 216% |
Consumer Guidance & Cost Commentary
For this blood test (CPT 82150) at Providence Medical Center in Kansas City, KS, the cash median price is $6.00, which is significantly lower than the facility's gross charge of $204.00. While the facility's negotiated rates with major payers like Aetna and UnitedHealthcare range from $6 to $16, 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 always request a full itemized bill to verify that no unbundled codes or services not rendered have been included.
The facility's cash rate of $6.00 is notably lower than the median negotiated rate of $7.00, and both figures are well below the Medicare benchmark of $6.48, suggesting the facility is pricing competitively against federal standards. However, because commercial negotiated rates can sometimes be inflated by administrative overhead and contract dynamics, patients should verify their specific plan's allowed amount before scheduling. To ensure the lowest possible cost, we recommend contacting the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final bill by bypassing the standard insurance billing cycle and associated administrative fees.