Blood test, amylase
Facility: Rawlins County Health Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $65
- Cash Discount Price: $64
- vs. Medicare Baseline: 10.03x 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 1003% of the Medicare baseline (a markup of 903%). 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 | $25 | 386% |
| UnitedHealthcare | $65 | 1003% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Rawlins County Health Center in Atwood, Kansas, the cash price is $64.00, which is notably lower than the facility's negotiated rates of $65.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that insurance plans like Blue Cross Blue Shield and UnitedHealthcare have negotiated rates of $25.00 and $65.00 respectively, which may exceed the cash price depending on the specific plan. In cases where a patient's insurance deductible has not yet been met, paying the cash price of $64.00 could result in immediate savings compared to the higher negotiated amounts charged by these payers.
To ensure you are receiving the most accurate and fair pricing, it is essential to request an itemized bill that breaks down the specific CPT code 82150 rather than accepting a summary invoice that obscures individual charges. If you choose to use insurance, remember that the allowed amount represents the true cost baseline, and any difference between the negotiated rate and this amount is not your responsibility under federal protections. Additionally, before scheduling, ask the billing department about prompt-pay discounts, which can reduce the final cost by 20% to 50% if you settle the bill upfront, effectively bypassing the administrative overhead associated with insurance claims processing.