Blood test, amylase
Facility: Republic County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $58
- Cash Discount Price: $47
- vs. Medicare Baseline: 8.95x 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 895% of the Medicare baseline (a markup of 795%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $54 | 833% |
| Aetna | $57 | 880% |
| Meritain-All Plans | $57 | 880% |
| UnitedHealthcare | $58 | 895% |
| Midlands Choice-All Plans | $60 | 926% |
| Cigna | $60 | 926% |
| First Health-All Plans | $60 | 926% |
Consumer Guidance & Cost Commentary
For this blood test for amylase at Republic County Hospital in Belleville, KS, the facility's cash price of $47.00 is lower than the median negotiated rate of $58.00 paid by insurance carriers. While the hospital is a Critical Access Hospital with a voluntary non-profit ownership structure, patients with high-deductible plans may find paying the cash price directly more cost-effective than using insurance, as the negotiated rates often exceed the cash amount. It is important to note that the facility's cash rate is also lower than the Medicare benchmark of $6.48 when adjusted for the local wage index, which serves as the objective baseline for evaluating pricing markups.
Commercial payers in this area, including Rural Carriers, Aetna, and UnitedHealthcare, have negotiated rates ranging from $54 to $60, which are generally higher than the cash price but lower than the gross charge of $63.00. Patients should verify their specific plan's deductible status before scheduling, as using insurance without meeting the deductible could result in paying the full negotiated rate. Additionally, since the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, patients can request a prompt-pay discount of up to 50% if they choose to pay the bill in full upfront, bypassing the administrative costs associated with insurance claims processing.