Blood test, amylase
Facility: Sheridan County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $35
- Cash Discount Price: $52
- vs. Medicare Baseline: 5.40x 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 540% of the Medicare baseline (a markup of 440%). 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 |
|---|---|---|
| Celtic Insurance | $31 | 478% |
| Blue Cross Blue Shield | $35 | 540% |
| UnitedHealthcare | $49 | 756% |
Consumer Guidance & Cost Commentary
For the Blood test, amylase (CPT 82150) at Sheridan County Hospital in Hoxie, KS, the cash price is $52.00, which matches the facility's median negotiated rate of $35.00 and the state average of $52.00. While the facility is a Critical Access Hospital with government-local ownership, patients should note that cash payment may be more cost-effective than using insurance if their deductible is high, as the negotiated rate of $35.00 is lower than the cash price. However, since the cash price equals the state average, patients should verify their specific plan's allowed amount, as some insurers may negotiate higher rates than the facility's published median.
To avoid unexpected costs, patients should request a prompt-pay discount before scheduling, which can reduce the bill by 20% to 50% if paid upfront. If you are using insurance, ensure you understand that balance billing is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act, but you should still review your itemized bill for any unbundled codes or services not rendered. Since over 80% of hospital bills contain errors, always demand a detailed, line-by-line statement rather than accepting a summary invoice, and dispute any discrepancies in writing to protect your financial interests.