Blood test, amylase
Facility: Minneola District Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $32
- Cash Discount Price: $25
- 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 |
|---|---|---|
| UnitedHealthcare | $24 - $36 | 370% |
| Humana | $24 | 370% |
| Va Community Care Program-All Plans | $24 | 370% |
| Blue Cross Blue Shield | $25 | 386% |
| Providrs Care Network-All Plans | $31 | 478% |
| Corporate Plan Management-All Plans | $31 | 478% |
| Triwest-All Plans | $32 | 494% |
| Preferred Health Care (Coventry)-All Other Plans | $32 | 494% |
| Health Partners Of Kansas-All Plans | $34 | 525% |
| Aetna | $34 - $36 | 525% |
| Phc (Coventry) Leased Network | $34 | 525% |
| Medicaid / KanCare | $36 | 556% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Minneola District Hospital, the cash price of $25.00 is lower than the facility's negotiated rates, which range from $24.00 to $36.00 depending on the insurance plan. While the cash rate is the lowest option listed, patients with high-deductible plans should verify if their specific insurance allows them to pay the cash price directly, as this can sometimes be cheaper than the insurance negotiated rate of $32.00. It is important to note that commercial rates often include administrative overhead and contract dynamics that can make them higher than the direct cash price, even though insurance contracts provide a ceiling to prevent balance billing for in-network services.
The facility's pricing is benchmarked against the Medicare rate of $6.48, which serves as a scientifically validated baseline for healthcare costs. Although the cash price of $25.00 is significantly higher than the Medicare amount, it remains below the gross chargemaster price of $36.00. Patients should be aware that hospitals often inflate their list prices to make discounts appear larger, so comparing rates to the Medicare benchmark rather than the gross charge provides a clearer picture of actual value. Additionally, since this is a Critical Access Hospital in Kansas, patients may qualify for prompt-pay discounts if they choose to settle the bill upfront, potentially reducing the final amount owed.