Blood test, amylase
Facility: Kansas Medical Center Llc
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $6
- Cash Discount Price: $36
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| United | $3 | 46% |
| Medicaid / KanCare | $6 | 93% |
| Indian Health | $6 | 93% |
| Humana | $6 | 93% |
| Medadv_Wellcare | $6 | 93% |
| Blue Cross Blue Shield | $6 - $15 | 93% |
| Ambetter / Centene | $6 | 93% |
| Three_Rivers | $13 | 201% |
| Wppa | $17 - $30 | 262% |
| Aetna | $20 | 309% |
Consumer Guidance & Cost Commentary
For this blood test service at Kansas Medical Center Llc in Andover, the cash price is $36.00, which is lower than the facility's negotiated rate of $6.00 paid by most insurance plans. While commercial insurance contracts often result in higher out-of-pocket costs due to administrative fees and network tiering, the cash price here is significantly lower than the state average for this procedure. Patients with high-deductible plans or those who have already met their deductible may find it financially advantageous to pay the cash price directly, provided they verify the facility's "self-pay" or "prompt-pay" discounts before scheduling. It is important to note that while the cash rate is competitive, commercial payers like United and Medicaid/KanCare have negotiated rates that exceed the cash amount, illustrating how insurance contracts can sometimes cost more than paying out-of-pocket.
The facility's billing practices align with federal protections, as the No Surprises Act generally prevents balance billing for emergency or non-emergency services at in-network facilities. However, patients should request a full itemized bill to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors. When evaluating the cost, it is more accurate to compare rates against the Medicare benchmark of $6.48 rather than the hospital's gross chargemaster of $60.00, as Medicare rates represent the true cost baseline for this service. By comparing the facility's negotiated rate of $6.00 to the Medicare amount, you can see the markup applied, while the cash price of $36.00 remains the most transparent option for avoiding complex insurance billing structures.