Blood test, amylase
Facility: Hospital District #6 Patterson Health Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $62
- Cash Discount Price: $55
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $24 - $25 | 370% |
| UnitedHealthcare | $62 - $69 | 957% |
| Providers Care (Wppa)-All Plans | $121 | 1867% |
Consumer Guidance & Cost Commentary
For the CPT code 82150 (Blood test, amylase) at Hospital District #6 Patterson Health Center in Anthony, KS, the facility's cash median rate is $55.00, which is lower than the state average of $62.00. While the facility's negotiated rates with major payers like Blue Cross Blue Shield ($24–$25) and UnitedHealthcare ($62–$69) are significantly higher than the cash price, patients with high-deductible plans may find paying the cash rate directly more cost-effective if their insurance allowed amount exceeds $55.00. It is important to note that while the facility is a Critical Access Hospital owned by the Government, commercial insurance contracts often result in higher billed amounts due to administrative overhead and contract dynamics, making the cash option a potential savings strategy for those who qualify.
When reviewing your bill, be aware that hospitals may issue summary bills that obscure individual charges, so always request a full itemized statement to verify that no services were unbundled or double-billed. If you receive a balance bill for an out-of-network service, remember that the No Surprises Act generally protects you from paying the difference between the provider's full charge and your insurance allowed amount for emergency care and non-emergency services at in-network facilities. Additionally, since the facility offers a cash median rate of $55.00, you should explicitly ask at registration for a "self-pay" or "prompt-pay" discount before scheduling your visit, as paying upfront can often reduce the final amount owed by bypassing costly insurance claims processing and administrative fees.