Blood test, amylase
Facility: Hodgeman County Health Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $65
- Cash Discount Price: $74
- vs. Medicare Baseline: 10.03x 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 1003% of the Medicare baseline (a markup of 903%). 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 | $24 - $25 | 370% |
| UnitedHealthcare | $60 - $88 | 926% |
| Humana | $60 | 926% |
| Medicaid / KanCare | $60 - $93 | 926% |
| Triwest - All Plans | $60 | 926% |
| Aetna | $74 | 1142% |
| First Health - All Plans | $84 | 1296% |
| Wppa (Provdrscare) - All Plans | $88 | 1358% |
| Health Partners - All Plans | $88 | 1358% |
Consumer Guidance & Cost Commentary
For the Blood test, amylase (CPT 82150) at Hodgeman County Health Center in Jetmore, KS, the facility's cash median price is $74.00, which aligns closely with the state average of $74.00. While the facility is a Critical Access Hospital with government local ownership, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead. For instance, UnitedHealthcare and Medicaid/KanCare plans have negotiated ranges starting at $60.00 and extending up to $93.00, which can be higher than the cash rate. If you have a high-deductible plan, paying the cash price of $74.00 upfront might result in lower out-of-pocket costs compared to your insurance's negotiated rate, especially if you have not yet met your deductible.
To minimize costs, we recommend asking the facility about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these can reduce the bill by 20% to 50%. Additionally, always request an itemized bill to verify that charges match the service rendered and to avoid balance billing, which is largely prohibited for non-emergency services at in-network facilities under the No Surprises Act. When evaluating the facility's pricing, it is important to compare rates against the Medicare benchmark of $6.48; commercial negotiated rates typically range from 100% to 140% of this amount, reflecting the true cost of care rather than the inflated chargemaster list price.