CMS Price Transparency Data

Blood test, amylase

Facility: Jewell County Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $42
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 6.48x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Jewell County Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 6.48x the Medicare baseline. Located in 100 Crestvue Ave, Mankato, KS.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.48

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.48 (100%)
Cash / Self-Pay: $33 (509%)
Insurance Median: $42 (648%)
Cash: $33 (509% of Medicare)
Ins. Median: $42 (648% of 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 648% of the Medicare baseline (a markup of 548%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Rural Carriers - All Plans $37 571%
Meritain - All Plans $39 602%
Aetna $39 602%
Cigna $42 648%
UnitedHealthcare $42 648%
First Health - All Plans $42 648%
Midlands Choice - All Plans $42 648%

Consumer Guidance & Cost Commentary

For the blood test code 82150 (Amylase) at Jewell County Hospital in Mankato, KS, the cash median price is $33.00, which is lower than the facility's negotiated rate of $42.00. This service is covered by seven payers, with Rural Carriers paying the lowest allowed amount of $37.00 and others like Aetna, Cigna, and UnitedHealthcare paying $39.00 to $42.00. Because the cash price is lower than the negotiated rates, patients with high-deductible plans or those without insurance may save money by paying cash directly, provided they confirm the facility offers a self-pay or prompt-pay discount. It is important to note that while the facility is a Critical Access Hospital owned by the local government, patients should verify their specific plan's deductible status before relying on insurance to avoid unexpected out-of-pocket costs if their deductible has not yet been met.

When evaluating the cost of this service, it is more accurate to compare the rates against the Medicare benchmark rather than the hospital's gross charges. The Medicare amount for this code is $6.48, and the facility's negotiated rate of $42.00 represents a significant markup above this federal baseline. Commercial rates often include administrative overhead and contract dynamics that can inflate the price well beyond the true cost of delivery. To ensure you are receiving fair pricing, patients should request an itemized bill to review the specific CPT codes and avoid summary bills that obscure individual charges. If you receive a bill that appears higher than expected, you have the right to request a formal audit to identify any errors, unbundled services

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Crestvue Ave, Mankato, KS 66956
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals