Blood test, amylase
Facility: Lincoln County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $25
- Cash Discount Price: $98
- vs. Medicare Baseline: 3.86x 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 386% of the Medicare baseline (a markup of 286%). 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 | $25 | 386% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Lincoln County Hospital in Lincoln, KS, the cash price is $98.00, which is significantly lower than the facility's gross charge of $109.00. While the median negotiated rate for Blue Cross Blue Shield plans is $25.00, patients with high-deductible plans should consider paying cash directly, as the cash price is often cheaper than the insurance negotiated rate once deductibles are met. Although the facility is a Critical Access Hospital owned by the local government, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not charged the full list price.
This service is priced at 3.9 times the Medicare benchmark rate of $6.48, which serves as the objective baseline for fair pricing. While the data does not provide specific county or state average comparisons for this exact code, the significant markup relative to Medicare highlights the importance of understanding the difference between the hospital's gross charges and actual allowed amounts. If a patient receives an itemized bill showing a discrepancy between the negotiated rate and their actual charge, they should request a formal written audit to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain such issues.