Blood test, amylase
Facility: Kansas City Orthopaedic Institute
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $26
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 4.01x 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 401% of the Medicare baseline (a markup of 301%). 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 |
|---|---|---|
| Cigna | $6 - $43 | 93% |
| Aetna | $6 | 93% |
| UnitedHealthcare | $6 - $50 | 93% |
| Blue Cross Blue Shield | $12 - $54 | 185% |
| Medica | $45 - $47 | 694% |
Consumer Guidance & Cost Commentary
For the blood test code 82150 (Amylase) at Kansas City Orthopaedic Institute in Leawood, KS, the facility's gross charge is $83.00. While the facility is owned by a physician and operates as an acute care hospital, the data does not provide specific cash or median negotiated rates for this service, so direct comparisons to state or county averages cannot be made. However, the facility's negotiated rates for this procedure average $26.00, which is significantly lower than the gross charge. It is important to note that commercial insurance rates often include administrative overhead and contract dynamics that can make them higher than cash prices; patients with high-deductible plans may find paying the cash price upfront more cost-effective if the insurance allowed amount exceeds the cash rate.
To minimize potential costs, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the total bill by 20% to 50%. Additionally, since the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should avoid signing consent waivers that waive these rights. If a detailed bill is received, requesting an itemized audit is recommended to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. For context, the Medicare benchmark for this service is $6.48, which serves as a baseline for evaluating the facility's pricing markup relative to federal reimbursement standards.