Blood test, amylase
Facility: Clara Barton Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $65
- Cash Discount Price: $51
- vs. Medicare Baseline: 10.03x 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 1003% of the Medicare baseline (a markup of 903%). 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% |
| 6 Degrees Health - All Plans | $50 - $51 | 772% |
| Wppa-All Plans | $58 | 895% |
| UnitedHealthcare | $65 - $66 | 1003% |
| Aetna | $65 - $66 | 1003% |
| Phcs - All Plans | $65 - $66 | 1003% |
| Hlth Partners Of Ks-All Plans | $66 - $67 | 1019% |
Consumer Guidance & Cost Commentary
For the CPT code 82150 (Blood test, amylase) at Clara Barton Hospital in Hoisington, KS, the facility's negotiated rates range from $50 to $67, with a median negotiated amount of $65.00. This rate is notably higher than the facility's cash median of $51.00, illustrating a common scenario where paying out-of-pocket can be more cost-effective than using insurance, particularly for patients with high-deductible plans. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should verify their specific plan's allowed amount, as some payers like Blue Cross Blue Shield have a low-end rate of $25, which is significantly lower than the facility's general negotiated range.
To minimize costs, patients should proactively request self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can bypass administrative fees and reduce the final bill. It is important to note that the facility's gross charge of $73.00 serves as the baseline list price, but the actual cost to the patient will depend on their insurance status and any applicable discounts. Furthermore, while the Medicare amount for this service is $6.48, commercial rates are typically higher due to administrative overhead; however, the facility's cash price remains the most transparent benchmark for avoiding balance billing or unexpected out-of-network charges.