Blood test, amylase
Facility: Ashland Health Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $36
- Cash Discount Price: $29
- vs. Medicare Baseline: 5.56x 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 556% of the Medicare baseline (a markup of 456%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $12 | 185% |
| Compalliance-All Plans | $29 | 448% |
| Health Partners Of Kansas-All Plans | $31 | 478% |
| Multiplan-All Plans | $35 | 540% |
| Medicaid / KanCare | $36 | 556% |
| Healthy Blue Mcr Adv - All Other Plans | $36 | 556% |
| Health Choice-All Plans | $36 | 556% |
| Aetna | $36 | 556% |
| Medicare (plans) | $36 | 556% |
| Medica Mcare - All Plans | $36 | 556% |
| UnitedHealthcare | $36 | 556% |
| Providers Care (Wppa)-All Plans | $54 | 833% |
Consumer Guidance & Cost Commentary
For the blood test, amylase (CPT 82150) at Ashland Health Center in Ashland, KS, the facility's negotiated rates range from $12 to $54 across 12 payers, with a median negotiated rate of $36.00. This aligns closely with the facility's gross charge of $36.00 and the median negotiated rate of $36.00 reported for this service. When compared to the Medicare benchmark of $6.48, the facility's rates are significantly higher, reflecting the standard markup structure for commercial insurance contracts. While the cash median price is $29.00, which is lower than the negotiated rates, patients with high-deductible plans should verify if paying out-of-pocket is more cost-effective, as the insurance allowed amount often exceeds the cash price.
Patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is important to note that even though the facility is an in-network Critical Access Hospital, the final amount owed depends on your specific plan's deductible status and the negotiated contract with your insurer. To ensure you are receiving the most accurate pricing, always request an itemized bill that lists specific CPT codes rather than accepting a summary invoice, and never sign away your rights to dispute potential balance billing or errors without first reviewing the details.