Blood test, amylase
Facility: Ellinwood District Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $51
- Cash Discount Price: $62
- vs. Medicare Baseline: 7.87x 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 787% of the Medicare baseline (a markup of 687%). 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 | $51 | 787% |
| Cigna | $51 | 787% |
| Blue Cross Blue Shield | $51 | 787% |
| Humana | $51 | 787% |
| Aetna | $51 | 787% |
Consumer Guidance & Cost Commentary
For the blood test code 82150 (Amylase) at Ellinwood District Hospital in Ellinwood, KS, the cash median price is $62.00, which is lower than the facility's negotiated rate of $51.00 and significantly below the gross charge of $73.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that commercial insurance plans like UnitedHealthcare, Cigna, and Blue Cross Blue Shield have negotiated rates of $51.00, which are higher than the cash price. This pricing structure suggests that for patients with high-deductible plans or those without insurance, paying the cash price directly may result in lower out-of-pocket costs compared to using an in-network plan where the insurer pays $51.00. Additionally, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final amount owed.
When evaluating the cost of this service, it is important to compare rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare amount for this procedure is $6.48, and the facility's negotiated rate of $51.00 represents a significant markup above this federal baseline. Since Medicare rates are calculated based on actual provider costs plus a small margin, they serve as the most reliable indicator of the true cost of care, revealing that commercial rates often exceed fair pricing standards. To ensure you are not overpaying, request an itemized billing audit to verify that no unbundled codes or services not rendered are included in the final invoice, as