Blood test, amylase
Facility: Stafford County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $42
- Cash Discount Price: $44
- vs. Medicare Baseline: 6.48x 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 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.
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 | $3 | 46% |
| Va Ccn-All Plans | $3 | 46% |
| Health Partners-All Plans | $42 | 648% |
| Medica Mcr- All Plans | $44 | 679% |
| Humana | $44 | 679% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Stafford County Hospital, the cash price is $44.00, which matches the facility's negotiated rate and the median paid amount. This is notably lower than the state average, as the Medicare benchmark for this service is $6.48, indicating that the facility's pricing structure is significantly above the federal baseline. While commercial payers like UnitedHealthcare and Humana have negotiated rates ranging from $42.00 to $44.00, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds $44.00. It is important to note that while the facility is in-network for these payers, the cash rate remains competitive and does not exceed the negotiated ceilings set by major insurers.
Patients should be aware that hospitals often offer prompt-pay discounts, typically ranging from 20% to 50%, for those who settle their bill upfront. Since this facility is a Critical Access Hospital with government local ownership, asking about self-pay or prompt-pay rates before scheduling can result in immediate savings beyond the standard cash price. Additionally, because the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, patients should not expect to be billed for the difference between the chargemaster and the insurance allowed amount. To ensure accuracy, consumers are encouraged to request a full itemized bill before payment, as summary invoices may obscure specific charges or unbundled codes that could otherwise be disputed.