Blood test, amylase
Facility: Cheyenne County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $35
- Cash Discount Price: $37
- vs. Medicare Baseline: 5.40x 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 540% of the Medicare baseline (a markup of 440%). 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 |
|---|---|---|
| UnitedHealthcare | $2 - $37 | 31% |
| Blue Cross Blue Shield | $25 | 386% |
| First Health - All Plans | $26 | 401% |
| Tricare | $27 | 417% |
| Healthy Blue Mcr Adv | $27 | 417% |
| Aetna | $27 - $35 | 417% |
| Choice Care - All Plans | $27 | 417% |
| Firstguard - All Plans | $30 | 463% |
| Wppa - All Plans | $33 | 509% |
| Preferred Hc - All Plans | $35 | 540% |
| Cpm - All Plans | $35 | 540% |
| Unicare - All Plans | $36 | 556% |
| Health Partners - All Plans | $36 | 556% |
| Integrated Hp - All Plans | $36 | 556% |
| Ppo Next - All Plans | $36 | 556% |
| Midlands Choice - All Plans | $36 | 556% |
| Healthwave Mcaid - All Plans | $37 | 571% |
| Healthy Blue Mcaid - All Other Plans | $37 | 571% |
| Childrens Mercy - All Plans | $37 | 571% |
| Providers Care-All Plans | $56 | 864% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Cheyenne County Hospital, the cash price is $37.00, which matches the facility's negotiated rate and the median paid amount. While commercial insurance plans like UnitedHealthcare and Aetna negotiate rates ranging from $2 to $37, these amounts are generally higher than the cash price due to administrative costs and contract structures. It is important to note that for patients with high-deductible plans, paying the cash price of $37.00 upfront can sometimes be more cost-effective than relying on insurance, especially if the negotiated rate exceeds the cash price. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing costly claims processing.
When evaluating the cost of this service, it is crucial to compare rates against the Medicare benchmark rather than the hospital's full chargemaster list. The Medicare reimbursement rate for this code is $6.48, which serves as the objective baseline for fair pricing. The facility's cash price of $37.00 represents a significant markup over the Medicare rate, a common practice in commercial billing where negotiated rates often average 200% to 300% of the Medicare amount. To ensure you are not overpaying, request a detailed, itemized bill to verify that no unbundled codes or services not rendered have inflated the total. If you receive a balance bill from an out-of-network provider, remember that the No Surprises Act may protect you from paying the difference between the provider's rate and your insurance allowed amount for emergency or non-emergency services