CMS Price Transparency Data

Blood test, amylase

Facility: Menorah Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $105
  • Cash Discount Price: $467
  • vs. Medicare Baseline: 16.20x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Menorah Medical Center is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $467. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 16.20x the Medicare baseline. Located in 5721 West 119Th Street, Overland Park, KS.
Cash / Self-Pay
$467

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.48

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.48 (100%)
Cash / Self-Pay: $467 (7207%)
Insurance Median: $105 (1620%)
Cash: $467 (7207% of Medicare)
Ins. Median: $105 (1620% of 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 1620% of the Medicare baseline (a markup of 1520%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $3 - $468 46%
Amerigroup $6 93%
Humana $6 - $16 93%
Home State Health Plan $6 93%
Blue Cross Blue Shield $6 - $263 93%
Aetna $6 - $298 93%
Devoted Health $6 93%
Coventry $6 - $235 93%
United $6 - $263 93%
Pyramid Life $7 108%
Medicaid / KanCare $7 108%
Wellcare $7 108%
Triwest Health Alliance $7 108%
Unicare $7 108%
Healthyblue $7 108%
Celtic $7 108%
Oscar $10 154%
Multiplan $11 - $433 170%
Oha Network $14 - $292 216%
Corvel Corporation $14 - $380 216%
Ambetter / Centene $15 - $109 231%
Nhc Advantage $16 - $111 247%
Wppa Providrs Care Network $17 - $117 262%
Universal Healthcare $29 - $205 448%
Coventry Kc Mo $34 - $240 525%
College Park Family Care Center $36 - $251 556%
Focus Healthcare Mgmt, Inc $62 - $438 957%
Cco, Inc. $62 - $438 957%

Consumer Guidance & Cost Commentary

For the blood test code 82150 (amylase) at Menorah Medical Center in Overland Park, KS, the cash price is $467.00. This cash rate is significantly higher than the state average, which is $6.48, and also exceeds the Medicare benchmark of $6.48 by 16.2%. While commercial insurance plans negotiate rates that act as a ceiling to protect members, these negotiated amounts often include administrative overhead and can still result in higher out-of-pocket costs for patients who have not yet met their deductibles. For instance, the highest negotiated rate found among in-network payers is $438, which remains well above the Medicare baseline. Patients should be aware that assuming an in-network plan automatically offers the lowest price is a common pitfall, as some commercial contracts may still result in higher allowed amounts than the direct cash price.

To potentially lower costs, patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can bypass costly insurance billing cycles and administrative fees. It is crucial to request a waiver of insurance submission if you intend to pay cash directly, as automatic claims processing can void any agreed-upon cash discount. Additionally, if you do use insurance, ensure you understand your deductible status, as paying a negotiated rate before meeting your deductible can lead to unexpected financial strain. Finally, if you receive a bill, always demand a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5721 West 119Th Street, Overland Park, KS 66209
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals