Blood test, amylase
Facility: Stevens County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $25
- Cash Discount Price: $65
- vs. Medicare Baseline: 3.86x 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 386% of the Medicare baseline (a markup of 286%). 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 |
|---|---|---|
| Aetna | $4 - $65 | 62% |
| Blue Cross Blue Shield | $24 - $25 | 370% |
| Humana | $24 | 370% |
| First Health - All Plans | $58 | 895% |
| Wppa - All Plans | $62 | 957% |
| Medicaid / KanCare | $65 | 1003% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Stevens County Hospital in Hugoton, Kansas, the cash price is $65.00, which matches the facility's maximum negotiated rate. While commercial payers like Aetna and Blue Cross Blue Shield have negotiated rates ranging from $24 to $65, the cash price remains the lowest option available for this service. Patients with high-deductible plans or those without insurance may find paying the full cash price of $65.00 more cost-effective than using insurance, as the negotiated rates for many plans exceed this amount. To potentially lower the cost further, patients should contact the hospital directly to inquire about self-pay discounts or prompt-pay incentives, which can reduce the final bill by 20% to 50% if settled upfront.
When evaluating the cost of this service, it is important to compare rates against the Medicare benchmark rather than the hospital's full chargemaster. The Medicare allowed amount for this code is $6.48, indicating that the cash price of $65.00 represents a significant markup above the federal baseline. Although the data does not provide specific state or county average rates for comparison, the facility is a Critical Access Hospital with a government-local ownership structure, which often influences pricing dynamics. Consumers should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is still advisable to request an itemized bill to ensure no unbundled charges or errors are included before finalizing payment.