Blood test, amylase
Facility: Rooks County Health Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $68
- Cash Discount Price: $57
- vs. Medicare Baseline: 10.49x 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 1049% of the Medicare baseline (a markup of 949%). 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 |
|---|---|---|
| Veterans Admin - All Plans | $5 | 77% |
| Blue Cross Blue Shield | $25 | 386% |
| Tricare | $36 | 556% |
| Celtic Mcr Adv | $36 | 556% |
| Celtic Comm - All Other Plans | $39 | 602% |
| UnitedHealthcare | $68 | 1049% |
| Aetna | $68 | 1049% |
| Preferred Benefits Admin | $68 | 1049% |
| Health Partners - All Plans | $72 | 1111% |
| Preferred Hlthcare - All Other Plans | $72 | 1111% |
| Healthy Blue Mcaid - All Plans | $76 | 1173% |
Consumer Guidance & Cost Commentary
For the blood test code 82150 (Amylase) at Rooks County Health Center in Plainville, KS, the facility's cash median rate of $57.00 is notably lower than the state average of $68.00. While the facility's median negotiated rate is $68.00, which matches the state average, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds $57.00. It is important to remember that commercial rates often include administrative overhead and contract dynamics that can inflate the baseline price, so comparing the cash option directly to the state average provides a clearer picture of fair value than looking at the gross chargemaster.
The facility, a Critical Access Hospital owned by a Government Hospital District, lists a Medicare benchmark of $6.48, which serves as the objective baseline for evaluating pricing markup. Although the data shows a "vs_medicare" figure of 10.5, this likely represents a percentage variance relative to the benchmark rather than a direct dollar amount, highlighting that commercial rates are significantly higher than the federal cost basis. To maximize savings, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can reduce the final cost by 20% to 50% by bypassing costly claims processing and administrative fees.