Blood test, amylase
Facility: Mercy Specialty Hospital Southeast Kansas
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $111
- Cash Discount Price: $110
- vs. Medicare Baseline: 17.13x 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 1713% of the Medicare baseline (a markup of 1613%). 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 |
|---|---|---|
| United Medical Resources Contracted [320454] | $5 - $18 | 77% |
| UnitedHealthcare | $5 - $159 | 77% |
| First Health Contracted [320128] | $6 | 93% |
| Mercy Hospice Okc [20252] | $6 | 93% |
| Kindful Hospice Contracted [320434] | $6 | 93% |
| Medical Associates Health Contracted [320444] | $6 | 93% |
| Mercy Mgd Behavioral Health Contracted [320259] | $6 | 93% |
| Cigna | $6 - $37 | 93% |
| Tricare | $6 | 93% |
| Blue Cross Blue Shield | $6 - $18 | 93% |
| Aetna | $6 | 93% |
| Medicaid / KanCare | $6 - $9 | 93% |
| Qual Choice Contracted [320325] | $6 | 93% |
| Humana | $6 | 93% |
| Globalhealth Contracted [320145] | $6 | 93% |
| Pace Of The Ozarks Contracted [320518] | $6 | 93% |
| Halo Hcr Inc Hospice [20432] | $6 | 93% |
| Cross Timbers Hospice [20098] | $6 | 93% |
| Dept Of Veteran Affairs Contracted [320106] | $6 | 93% |
| Halo Hcr Inc Hospice Contracted [320432] | $6 | 93% |
| Elara Caring Aspire Hospice [20433] | $6 | 93% |
| Kindful Hospice [20434] | $6 | 93% |
| Cherokee Nation Health Serv Contracted [320066] | $6 | 93% |
| Medica Contracted [320239] | $6 | 93% |
| Medicare (plans) | $6 | 93% |
| Provider Partners Health Plans Contracted [320450] | $7 | 108% |
| Centivo Contracted [320505] | $11 | 170% |
| Providrs Care Network Contracted [320484] | $12 | 185% |
| Point C Contracted [320238] | $18 - $129 | 278% |
| Healthscope Contracted [320182] | $18 - $129 | 278% |
| Health Systems Inc Contracted [320174] | $18 | 278% |
| Benefit Management Contracted [320052] | $18 | 278% |
| Insurance System Inc Contracted [320465] | $18 | 278% |
| Mercy Benefit Admin Contracted [320251] | $40 - $120 | 617% |
| Show-Me Health Administrators Contracted [320483] | $40 | 617% |
| Yuzu Health Contracted [320521] | $111 - $120 | 1713% |
| Aither Health Contracted [320449] | $111 - $120 | 1713% |
| Edison Health Solutions Contracted [320502] | $111 - $120 | 1713% |
| American Healthcare Alliance Contracted [320020] | $111 - $120 | 1713% |
| Auxiant Contracted [320462] | $111 - $129 | 1713% |
| Ebms Contracted [320493] | $111 - $120 | 1713% |
| Reflect Health Contracted [320492] | $111 - $120 | 1713% |
| Imagine 360 Contracted [320494] | $111 - $120 | 1713% |
| Preferred Health Plan Contracted [320522] | $118 - $129 | 1821% |
| Healthlink Contracted [320179] | $118 - $129 | 1821% |
| Federal Medical Center Contracted [320127] | $118 - $129 | 1821% |
| Compcare Of The Ozarks Contracted [320437] | $125 - $136 | 1929% |
| Workers Comp [20426] | $126 - $138 | 1944% |
| Private Health Care Systems Contracted [320320] | $146 - $159 | 2253% |
| Multiplan Contracted [320270] | $150 - $163 | 2315% |
| Multiplan [20270] | $150 - $163 | 2315% |
Consumer Guidance & Cost Commentary
For the CPT code 82150 (Blood test, amylase), Mercy Specialty Hospital Southeast Kansas lists a gross charge of $169.00, with a cash median price of $110.00. This cash rate is notably lower than the facility's negotiated rates, which range from $5 to $163 depending on the payer. While the facility is located in Galena, KS, the data does not provide specific county or state average benchmarks for comparison. However, the cash price of $110.00 is significantly lower than the Medicare amount of $6.48, indicating a substantial markup relative to the federal baseline. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the negotiated rates for many commercial payers exceed this amount.
To maximize savings, patients should inquire about "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims. It is also important to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. While the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should verify their specific plan details and deductibles before scheduling, as some negotiated rates may still exceed the cash price. Always confirm the exact self-pay or prompt-pay discount terms with the hospital prior to check-in to ensure you are paying the lowest possible amount.