CMS Price Transparency Data

Blood test, amylase

Facility: Kansas Spine & Specialty Hospital, Llc

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $6
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Kansas Spine & Specialty Hospital, Llc is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 0.93x the Medicare baseline. Located in 3333 North Webb Road, Wichita, KS.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $47 (725%)
Insurance Median: $6 (93%)
Cash: $47 (725% of Medicare)
Ins. Median: $6 (93% 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.

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
Providrs Care Network $6 93%
Blue Cross Blue Shield $6 93%
UnitedHealthcare $6 - $8 93%
United Mine Workers Of America $6 93%
Aetna $6 - $8 93%
Humana $6 93%
Lantern Specialty Care $10 154%

Consumer Guidance & Cost Commentary

For the CPT code 82150 (Blood test, amylase) at Kansas Spine & Specialty Hospital, Llc in Wichita, the cash median price is $47.00, which is lower than the facility's gross charge of $73.00. While the facility is a Physician-owned Acute Care Hospital in Kansas, the data provided does not include specific county or state average figures for this procedure, so a direct comparison to regional pricing benchmarks cannot be made. However, patients should be aware that cash-pay rates can sometimes be more affordable than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount might exceed the cash price. It is advisable to contact the hospital directly to confirm if they offer "self-pay" or "prompt-pay" discounts, which can further reduce the final cost.

Insurance data indicates that seven payers, including UnitedHealthcare and Aetna, have negotiated rates for this service, though the specific negotiated amounts are not disclosed in this report. Under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, but it remains crucial to request a full itemized bill before paying to ensure no unbundled codes or services not rendered are included. Since over 80% of hospital bills contain errors, patients should verify that their statement aligns with the actual services received and dispute any discrepancies in writing. Additionally, while Medicare sets a benchmark rate of $6.48 for this code, commercial rates often differ due to contract dynamics, and patients should avoid using the hospital's inflated chargemaster list as a benchmark for savings.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 North Webb Road, Wichita, KS 67226
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals