Blood test, amylase
Facility: Scott County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $74
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 11.42x 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 1142% of the Medicare baseline (a markup of 1042%). 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 | $6 - $78 | 93% |
| Blue Cross Blue Shield | $25 | 386% |
| Humana | $34 | 525% |
| Wppa | $49 - $1,200 | 756% |
| Aetna | $74 | 1142% |
Consumer Guidance & Cost Commentary
For the blood test, amylase (CPT 82150) at Scott County Hospital in Scott City, KS, the facility's negotiated rates range from $25 to $1,200 depending on your specific insurance plan, with a median negotiated amount of $74.00. This facility is a Critical Access Hospital owned by a voluntary non-profit private entity. While the gross chargemaster price is $82.00, commercial payers like UnitedHealthcare and Aetna have negotiated rates between $6 and $78, whereas WPPA plans can see rates as high as $1,200. It is important to note that cash-pay rates are not available for this service, so patients relying on high-deductible plans should be aware that their insurance negotiated rate may exceed the potential cash price if it were available, though in this case, the negotiated rate is the primary cost driver.
To ensure you are not overcharged, it is recommended to request a full itemized billing audit before paying any balance bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you should still verify that all ancillary services, such as specific lab components, are covered under your plan's network agreements. Additionally, since this is a Critical Access Hospital, you should contact the billing department directly to confirm if any prompt-pay discounts or self-pay reductions apply, as these can significantly lower your out-of-pocket costs compared to the standard negotiated rates listed above.