Blood test, amylase
Facility: Logan County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $52
- Cash Discount Price: $15
- vs. Medicare Baseline: 8.02x 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 802% of the Medicare baseline (a markup of 702%). 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 | $25 | 386% |
| Humana | $32 | 494% |
| Health Partners - All Plans | $71 | 1096% |
| Medicaid / KanCare | $75 | 1157% |
Consumer Guidance & Cost Commentary
For this blood test, amylase, Logan County Hospital in Oakley, KS, has a negotiated rate of $52.00, which matches the median paid amount for this service. This rate is significantly higher than the facility's cash price of $15.00, illustrating that commercial insurance contracts often include administrative overhead that inflates the baseline cost. While the facility is a Critical Access Hospital owned by the local government, the negotiated rate is also notably higher than the Medicare benchmark of $6.48, reflecting the standard markup found in commercial payer contracts. Patients should be aware that while in-network insurance provides coverage, the allowed amount does not always represent the lowest possible price for the service.
Given that the cash price is substantially lower than the negotiated rate, patients with high-deductible plans or those who have already met their deductible may find it financially beneficial to pay out-of-pocket. The facility offers a cash median of $15.00, which is well below the $52.00 insurance rate, suggesting that bypassing the insurance billing cycle could result in significant savings. To secure this lower rate, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling the appointment and consider signing a waiver to prevent automatic claims submission. Additionally, since the facility is a Critical Access Hospital, patients should verify their specific plan details to ensure they are not inadvertently subject to balance billing, though the No Surprises Act generally protects against such charges for services at in-network facilities.