Blood test, amylase
Facility: Mitchell County Hospital Health Systems
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $79
- Cash Discount Price: $75
- vs. Medicare Baseline: 12.19x 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 1219% of the Medicare baseline (a markup of 1119%). 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 - $83 | 93% |
| Blue Cross Blue Shield | $25 | 386% |
| Triwest Well Mark All Plans | $71 | 1096% |
| Aetna | $75 | 1157% |
| First Health-All Plans | $75 | 1157% |
| Pref Hlth Care Sytms Comm - All Plans | $75 | 1157% |
| Auxiant-All Plans | $79 | 1219% |
| Phc Leased Ntwrk Access - All Plans | $79 | 1219% |
| Multiplan Ppo - All Plans | $79 | 1219% |
| Cigna | $82 | 1265% |
| Health Partners Ks-All Plans | $82 | 1265% |
Consumer Guidance & Cost Commentary
For the CPT code 82150 (Blood test, amylase) at Mitchell County Hospital Health Systems in Beloit, KS, the facility's cash median price is $75.00, which is lower than the gross charge of $83.00. While the facility's negotiated rates with insurance payers range from $25.00 to $83.00, the cash price of $75.00 is notably higher than the Medicare benchmark of $6.48. This significant markup relative to the Medicare rate highlights that commercial negotiated rates often exceed fair pricing standards, which are typically defined as 120% to 150% of the Medicare amount. For patients with high-deductible plans, paying the cash price of $75.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates for many payers exceed this amount, and the administrative costs associated with insurance billing can inflate the final allowed amount.
Patients should be aware that the facility's cash price of $75.00 is close to the median negotiated rate of $79.00, suggesting that insurance coverage might not result in a lower out-of-pocket cost unless the patient's specific plan has a negotiated rate below $75.00. It is important to verify your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can be more expensive than the cash price. Additionally, you should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full within a short window, bypassing the