Blood test, amylase
Facility: Fredonia Regional Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $61
- Cash Discount Price: $68
- vs. Medicare Baseline: 9.41x 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 941% of the Medicare baseline (a markup of 841%). 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 | $4 - $61 | 62% |
| Blue Cross Blue Shield | $25 - $33 | 386% |
| Veterans Programs - All Plans | $34 | 525% |
| Aetna | $34 - $61 | 525% |
| Cigna | $61 | 941% |
| Meritain-All Plans | $61 | 941% |
| Reserve National-All Plans | $61 | 941% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Fredonia Regional Hospital, the cash price is $68.00, which matches the facility's median negotiated rate of $61.00 and the state average of $68.00. While the facility is a Critical Access Hospital in Kansas with government ownership, patients should note that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. If you have a high-deductible plan, paying the cash price of $68.00 upfront might be more cost-effective than using insurance, as the insurer's allowed amount could be higher than the cash rate. Additionally, you should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can lower the final cost by 20% to 50%.
When using insurance, be aware that balance billing can occur if out-of-network services are provided, though the No Surprises Act protects you from such surprise bills for emergency care and non-emergency services at in-network facilities. If you receive a bill that seems unexpectedly high, request a formal itemized billing audit to review every line item for errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes. To verify if your facility is charging a fair price, compare the allowed amount to the Medicare benchmark of $6.48; commercial rates are typically 200% to 300% of this federal rate, so any negotiated rate significantly higher than the cash price may indicate an opportunity to negotiate a better agreement with your insurer.