Blood test, amylase
Facility: Cloud County Health Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $91
- Cash Discount Price: $67
- vs. Medicare Baseline: 14.04x 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 1404% of the Medicare baseline (a markup of 1304%). 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 | $86 - $89 | 1327% |
| Pponext-All Plans | $91 | 1404% |
| Health Partners - All Plans | $91 | 1404% |
| Mpi-All Plans | $91 | 1404% |
Consumer Guidance & Cost Commentary
For this blood test procedure, Cloud County Health Center in Concordia, KS, lists a cash price of $67.00, which is lower than the facility's negotiated rate of $91.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance plans often pay negotiated rates that exceed the cash price. In this specific case, the median negotiated amount of $91.00 is higher than the cash option, meaning patients with high-deductible plans or those without insurance might save money by paying the cash price directly. However, it is crucial to verify your specific plan's allowed amount, as some insurers may have different negotiated rates that could result in higher out-of-pocket costs depending on your deductible status.
To ensure you are not overcharged, we recommend requesting a full itemized bill before finalizing payment, as summary bills can sometimes obscure individual code costs. If you receive a bill that includes charges for services not rendered or unbundled components, you should dispute it in writing rather than accepting the summary total. Additionally, if you are an out-of-network patient receiving care at this in-network facility, the No Surprises Act generally protects you from balance billing for emergency services and non-emergency services at in-network hospitals. Finally, ask the billing department about prompt-pay discounts, which can reduce the total amount owed if you settle the bill upfront, potentially lowering the cost further below the listed cash price.