Blood test, amylase
Facility: Nemaha Valley Community Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $33
- Cash Discount Price: $58
- vs. Medicare Baseline: 5.09x 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 509% of the Medicare baseline (a markup of 409%). 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 |
|---|---|---|
| Va Ccn - All Plans | $4 | 62% |
| Humana | $28 | 432% |
| Aetna | $28 - $54 | 432% |
| Celtic Comm Exch - All Plans | $31 | 478% |
| Partners Direct Health - All Plans | $33 | 509% |
| Multiplan - All Plans | $58 | 895% |
| Midlands Choice - All Plans | $61 | 941% |
| Health Partners - All Plans | $61 | 941% |
Consumer Guidance & Cost Commentary
For CPT code 82150, a blood test for amylase, Nemaha Valley Community Hospital in Seneca, KS, lists a cash median price of $58.00, which is notably lower than the facility's gross charge of $64.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. For instance, Aetna's negotiated range spans from $28 to $54, and Multiplan's rate is $58, meaning patients with high-deductible plans might save money by paying the cash price directly, provided they confirm the facility accepts their specific plan. It is important to verify "self-pay" or "prompt-pay" discounts with the hospital before scheduling, as these upfront incentives can further reduce the final amount owed.
When comparing pricing against federal benchmarks, the Medicare amount for this service is $6.48, which serves as a baseline for evaluating the facility's markup. The facility's cash median of $58.00 represents a significant increase over the Medicare rate, reflecting the costs of local labor and facility operations. Patients should avoid relying on the hospital's gross charge list as a benchmark, as these figures are inflated to make discounts appear larger than they are; instead, comparing rates to the Medicare amount reveals the true cost structure. Additionally, if a patient receives care from an out-of-network provider or encounters unexpected ancillary services, they may face balance billing, though the No Surprises Act provides federal protections against surprise bills for emergency and non-emergency services at in-network facilities. To ensure accuracy, consumers