Blood test, amylase
Facility: Wichita County Health Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $37
- Cash Discount Price: $32
- vs. Medicare Baseline: 5.71x 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 571% of the Medicare baseline (a markup of 471%). 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 |
|---|---|---|
| Medicaid / KanCare | $33 | 509% |
| UnitedHealthcare | $40 | 617% |
Consumer Guidance & Cost Commentary
For this blood test procedure (CPT 82150) at Wichita County Health Center in Leoti, Kansas, the facility's cash median price of $32.00 is lower than the state average of $37.00 and the county average of $33.00. While Medicaid/KanCare and UnitedHealthcare have negotiated rates of $33.00 and $40.00 respectively, patients with high-deductible plans or those without insurance may find the cash price more affordable. It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures; therefore, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not paying the full insurance allowed amount.
The Medicare benchmark for this service is $6.48, which serves as a baseline for evaluating the facility's pricing markup. The facility's cash rate of $32.00 represents a significant increase over the Medicare amount, reflecting the costs of local labor and facility operations. If a patient receives care from an out-of-network provider, they could face balance billing for the difference between the provider's full charge and what their insurance pays, though the No Surprises Act protects against this for emergency services at in-network facilities. To avoid unexpected costs, patients should request a detailed, itemized bill rather than accepting a summary invoice, as hospitals may bundle services or charge for items not rendered. Disputing any errors in writing can help reduce medical debt, as over 80% of hospital bills contain mistakes that can be corrected through a formal audit.