Blood test, amylase
Facility: Lane County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $60
- Cash Discount Price: $60
- vs. Medicare Baseline: 9.26x 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 926% of the Medicare baseline (a markup of 826%). 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 |
|---|---|---|
| Aetna | $54 - $57 | 833% |
| UnitedHealthcare | $54 - $60 | 833% |
| Healthy Blue Mcr Adv - All Other Plans | $60 | 926% |
| Healthy Blue Mcaid | $60 | 926% |
| Medicaid / KanCare | $60 - $66 | 926% |
| Wppa Providers-All Plans | $90 | 1389% |
Consumer Guidance & Cost Commentary
For the CPT code 82150, representing a blood test for amylase, Lane County Hospital in Dighton, KS, lists a cash price of $60.00, which matches the facility's negotiated rates and the median paid amount. This cash price is significantly higher than the Medicare benchmark of $6.48, reflecting a markup of 9.3 times the federal rate. While commercial payers like Aetna and UnitedHealthcare negotiate rates ranging from $54 to $66, these amounts remain well above the Medicare baseline. Given that cash payments can sometimes be more cost-effective for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price, it is advisable to confirm the lowest available option directly with the hospital before scheduling.
Patients should be aware that hospitals often issue summary bills that obscure individual charges, making it difficult to identify errors or unbundled services. To protect against unexpected costs, consumers should request a full itemized bill that lists specific CPT codes and unit costs before agreeing to pay. Additionally, since this facility is a Critical Access Hospital owned by a Government Hospital District, patients should explicitly ask about "self-pay" or "prompt-pay" discounts, which can reduce the total bill by 20% to 50% if paid in full upfront. Avoiding verbal disputes and insisting on written records for any billing corrections will ensure that the final invoice accurately reflects the agreed-upon negotiated or cash rates.