Blood test, amylase
Facility: Hiawatha Community Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $62
- Cash Discount Price: $84
- vs. Medicare Baseline: 9.57x 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 957% of the Medicare baseline (a markup of 857%). 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 | $24 - $74 | 370% |
| UnitedHealthcare | $24 - $79 | 370% |
| Blue Cross Blue Shield | $24 - $25 | 370% |
| Humana | $24 - $34 | 370% |
| Ambetter / Centene | $28 - $41 | 432% |
| Oscar - All Plans | $48 - $69 | 741% |
| Centrus Health Direct - All Plans | $48 - $69 | 741% |
| Preferred Hlth - All Plans | $58 - $83 | 895% |
| Wppa Providrs Care - All Plans | $61 - $87 | 941% |
| Cigna | $61 - $87 | 941% |
| Multiplan - All Plans | $62 - $89 | 957% |
| Midlands Choice - All Plans | $62 - $89 | 957% |
| Healthy Blue Mcaid - All Plans | $64 - $92 | 988% |
Consumer Guidance & Cost Commentary
For the blood test, amylase (CPT 82150) at Hiawatha Community Hospital, the cash median price is $84.00, which matches the facility's gross charge. This cash rate is significantly lower than the negotiated rates paid by most insurance plans, with the lowest negotiated amount being $62.00 and the highest reaching $92.00. While the cash price is competitive, patients with high-deductible plans may find it beneficial to pay the $84.00 cash rate directly, as many insurance contracts pay negotiated amounts that exceed this figure. To maximize savings, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill.
The facility's pricing is evaluated against a Medicare benchmark of $6.48, which serves as the objective baseline for cost. Although the cash rate of $84.00 is higher than the Medicare amount, it represents a fair market value compared to the commercial rates charged by other payers in the region. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still review their itemized bills to ensure no unbundled codes or services not rendered are included. If a discrepancy is found, a formal written audit dispute should be sent to the billing supervisor to resolve errors before payment.