Blood test, amylase
Facility: Stanton County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $94
- Cash Discount Price: $67
- vs. Medicare Baseline: 14.51x 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 1451% of the Medicare baseline (a markup of 1351%). 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 | $24 - $230 | 370% |
| Healthy Blue Mcr Adv - All Other Plans | $93 - $238 | 1435% |
| Healthy Blue Mcaid | $94 - $207 | 1451% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Stanton County Hospital, the cash price of $67.00 is significantly lower than the median negotiated rate of $94.00 paid by insurance plans, including Blue Cross Blue Shield and Healthy Blue variants. While the facility's cash rate matches the cash median exactly, it is notably lower than the state average of $91.00 for this service. Because commercial insurance contracts often include administrative overheads that inflate the negotiated price, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, provided they have not yet met their deductible.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network emergency services at in-network facilities, it does not automatically eliminate all potential charges for ancillary services like lab tests. To ensure you receive the best possible rate, we recommend requesting a "self-pay" or "prompt-pay" discount before scheduling, as hospitals often offer immediate fee reductions for upfront payments that bypass the standard insurance billing cycle. Always verify your specific plan's allowed amount and ask the billing department to confirm whether any prompt-pay discounts are available prior to receiving a final invoice.