Blood test, amylase
Facility: St Luke Hospital & Living Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $43
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 6.64x 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 664% of the Medicare baseline (a markup of 564%). 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 |
|---|---|---|
| Kansas Department Of Health And Environment | $42 - $46 | 648% |
| Va Ccn | $42 - $46 | 648% |
| UnitedHealthcare | $42 - $46 | 648% |
| Blue Cross Blue Shield | $42 - $46 | 648% |
| Humana | $42 - $46 | 648% |
| Bluestem Pace | $42 - $46 | 648% |
| Ambetter / Centene | $43 - $47 | 664% |
Consumer Guidance & Cost Commentary
For the Blood test, amylase procedure (CPT 82150) at St Luke Hospital & Living Center in Marion, KS, the facility's negotiated rates range from $42 to $47, with a median of $43.00 across seven payers including UnitedHealthcare and Blue Cross Blue Shield. This negotiated range is significantly higher than the Medicare benchmark of $6.48, reflecting the standard administrative markup inherent in commercial insurance contracts. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that cash-pay options are not listed in this report. However, for individuals with high-deductible plans, paying cash upfront can sometimes be more cost-effective than using insurance if the negotiated rate exceeds the cash price, provided the patient secures a prompt-pay discount before scheduling.
To minimize costs, patients should proactively request "self-pay" or "prompt-pay" discounts prior to check-in, as billing systems often default to insurance processing once a card is on file. It is crucial to avoid balance billing by ensuring the facility submits claims only for in-network services, as the No Surprises Act protects patients from unexpected out-of-network charges for emergency care and non-emergency services at in-network facilities. If a patient receives an itemized bill, they should request a full line-by-line audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through formal written disputes.