Blood test, amylase
Facility: Grisell Memorial Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $33
- Cash Discount Price: $55
- vs. Medicare Baseline: 5.09x 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 509% of the Medicare baseline (a markup of 409%). 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 |
|---|---|---|
| UnitedHealthcare | $4 - $43 | 62% |
| Blue Cross Blue Shield | $24 | 370% |
| Medicaid / KanCare | $58 | 895% |
| Humana | $58 | 895% |
Consumer Guidance & Cost Commentary
For the blood test code 82150 (amylase) at Grisell Memorial Hospital in Ransom, Kansas, the facility's cash price of $55.00 is notably lower than the state average, which sits at $58.00. While the hospital's negotiated rates for commercial payers like UnitedHealthcare and Blue Cross Blue Shield range from $24 to $58, patients should be aware that these insurance rates often exceed the cash price due to administrative overhead and contract structures. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price of $55.00 upfront could result in significant savings compared to the negotiated rates your insurer might apply, which can include multi-layered administrative costs that inflate the baseline price by 20% to 40%.
Before scheduling this service, it is crucial to verify the specific allowed amount for your insurance plan and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full within a short window. Although the facility is a Critical Access Hospital with government ownership, patients should avoid assuming that being in-network guarantees the lowest possible price, as different insurers negotiate different rates that vary significantly by location. Additionally, while the Medicare benchmark for this service is $6.48, commercial rates often average 200% to 300% of this figure; however, the cash price here remains competitive relative to the state average, making it a potentially cost-effective option for those without active insurance coverage.