Blood test, amylase
Facility: Wilson Medical Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $25
- Cash Discount Price: $29
- 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 |
|---|---|---|
| Humana | $4 - $38 | 62% |
| Ambetter / Centene | $4 - $71 | 62% |
| Tricare | $4 - $38 | 62% |
| UnitedHealthcare | $4 - $66 | 62% |
| Aetna | $4 - $71 | 62% |
| Cigna | $6 - $57 | 93% |
| Health Partners-All Plans | $6 - $65 | 93% |
| Mulitplan-All Plans | $6 - $65 | 93% |
| Blue Cross Blue Shield | $7 - $71 | 108% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Wilson Medical Center in Neodesha, KS, the facility's cash price of $29.00 is notably lower than the state average of $39.00. While most major payers like Humana, Tricare, and Cigna have negotiated rates ranging from $4 to $71, the cash rate remains the most affordable option for patients without insurance or those with high-deductible plans. Because commercial negotiated rates often include administrative overhead and are frequently higher than cash prices, paying out-of-pocket can result in significant savings. Patients should verify if their specific plan has a deductible that would otherwise require them to pay the higher negotiated amount, as the cash price here is already below the median negotiated rate of $25.00 reported for this service.
If you choose to use insurance, be aware that balance billing could occur if you receive care from out-of-network providers, though the No Surprises Act protects you from such surprise bills for emergency services and non-emergency care at in-network facilities. Even within the network, it is crucial to request an itemized billing audit before paying, as summary bills often hide unbundled codes or services not rendered, which can lead to unexpected costs. Additionally, ask the hospital about prompt-pay discounts, which can reduce the total bill by 20% to 50% if paid in full upfront, bypassing the costly claims processing cycle that inflates commercial rates. Always compare the final allowed amount to the Medicare benchmark of $6.48 to ensure you are not overpaying, as commercial rates are often marked up significantly above this federal baseline.