Blood test, amylase
Facility: Community Memorial Healthcare, Inc.
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $13
- Cash Discount Price: $21
- vs. Medicare Baseline: 2.01x 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 201% of the Medicare baseline (a markup of 101%). 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 | $8 - $21 | 123% |
| UnitedHealthcare | $10 - $16 | 154% |
| Blue Cross Blue Shield | $25 | 386% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Community Memorial Healthcare in Marysville, Kansas, the cash price is $21.00, which matches the facility's median negotiated rate of $13.00 for in-network payers like Aetna and UnitedHealthcare. While the gross chargemaster lists at $21.00, the actual amount paid by insurers averages $13.00, meaning patients with high-deductible plans might find paying cash directly more cost-effective than relying on insurance, which could result in balance billing if the provider is out-of-network. It is important to note that while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services at in-network facilities, patients should still verify their specific plan's allowed amount and ask the hospital about any "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not overpaying.
The facility's pricing for this service is benchmarked against the federal Medicare rate of $6.48, which serves as the objective baseline for evaluating hospital markups. Although the commercial negotiated rate of $13.00 is higher than the Medicare amount, it aligns with the median negotiated rate for this code in the region, suggesting the facility is charging a fair market value rather than an inflated list price. Patients should avoid accepting summary bills that only show broad category totals, as these can obscure individual code costs; instead, requesting a full itemized CPT-coded bill allows for a systematic review to identify any errors, unbundled charges, or services not rendered. By comparing the final allowed amount to the Medicare benchmark and confirming the facility's status as a Critical Access Hospital with a voluntary non-profit ownership