Blood test, amylase
Facility: Trego County Lemke Memorial Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $32
- Cash Discount Price: $32
- vs. Medicare Baseline: 4.94x 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 494% of the Medicare baseline (a markup of 394%). 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 |
|---|---|---|
| Va Ccn - All Plans | $2 | 31% |
| Humana | $19 | 293% |
| Tricare | $20 | 309% |
| UnitedHealthcare | $24 - $38 | 370% |
| Aetna | $24 - $34 | 370% |
| Medicaid / KanCare | $24 - $38 | 370% |
| Ambetter / Centene | $26 | 401% |
| Blue Cross Blue Shield | $34 | 525% |
| Health Partners - All Plans | $36 | 556% |
| Healthy Blue Mcaid - All Plans | $38 | 586% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Trego County Lemke Memorial Hospital, the cash price is $32.00, which aligns with the facility's median negotiated rate of $32.00. While the facility is a Critical Access Hospital in Wakeeney, KS, patients should note that commercial insurance plans often pay significantly higher amounts than the cash price due to administrative overhead and contract structures. For instance, UnitedHealthcare and Medicaid/KanCare plans have negotiated ranges extending up to $38.00, whereas the cash rate remains fixed at $32.00. This dynamic suggests that for individuals with high-deductible plans or those without insurance, paying the cash price directly may result in lower out-of-pocket costs compared to the allowed amounts their insurers would process.
The facility's pricing is also contextualized by the Medicare benchmark of $6.48, which serves as a federal cost baseline. Although the data does not provide specific county or state average comparisons for this specific code, the significant gap between the Medicare rate and the facility's cash price highlights the typical markup in commercial healthcare. Patients are encouraged to verify their specific plan details before scheduling, as some in-network members might face higher costs if their deductible has not been met. Additionally, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing the standard insurance billing cycle and administrative fees.