Blood test, amylase
Facility: Hamilton County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $51
- Cash Discount Price: $56
- vs. Medicare Baseline: 7.87x 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 787% of the Medicare baseline (a markup of 687%). 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 | $12 - $25 | 185% |
| First Health Coventry - All Plans | $48 | 741% |
| Cigna | $53 | 818% |
| UnitedHealthcare | $53 | 818% |
| Va Ccn - All Plans | $56 | 864% |
| Aetna | $96 | 1481% |
Consumer Guidance & Cost Commentary
For the CPT code 82150 (Blood test, amylase) at Hamilton County Hospital in Syracuse, KS, the cash median price is $56.00, which matches the facility's gross charge. This cash rate is notably higher than the state average for this service, though it aligns closely with the negotiated rates of several major payers including First Health Coventry, Cigna, UnitedHealthcare, and the VA. While commercial insurance contracts often cap payments at these negotiated levels, patients with high-deductible plans may find the cash price more affordable if their insurance allowed amount exceeds $56.00. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in significant out-of-pocket costs.
To ensure you are receiving the most accurate pricing, always request an itemized bill that breaks down the exact CPT codes and unit costs rather than accepting a summary invoice. This audit helps identify potential errors, unbundled charges, or services not rendered, which can significantly reduce medical debt. Additionally, ask the billing department about "self-pay" or "prompt-pay" discounts, which can lower the total cost if you settle the bill upfront. Since this facility is a Critical Access Hospital with government-local ownership, their pricing structure may differ from larger urban centers, so comparing the final allowed amount to the Medicare benchmark of $6.48 provides a clear view of the facility's cost basis relative to federal standards.