Blood test, amylase
Facility: Girard Medical Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $44
- Cash Discount Price: $75
- vs. Medicare Baseline: 6.79x 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 679% of the Medicare baseline (a markup of 579%). 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 | $25 - $44 | 386% |
| Medicare (plans) | $44 | 679% |
| Ambetter / Centene | $44 | 679% |
| Kansas Superior Select-All Plans | $44 | 679% |
| Aetna | $44 - $219 | 679% |
| Humana | $44 | 679% |
| UnitedHealthcare | $44 - $119 | 679% |
| Multiplan-All Plans | $116 | 1790% |
| Uhhis-All Plans | $119 | 1836% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Girard Medical Center in Kansas, the negotiated rates for major payers like Aetna and UnitedHealthcare range from $44 to $219, while the facility's cash median price is $75.00. This cash rate is notably lower than the typical negotiated amounts commercial insurers charge, which often include administrative overheads that can inflate the baseline price by 20% to 40%. For patients with high-deductible plans who have not yet met their coverage threshold, paying the cash price of $75.00 may be more cost-effective than relying on insurance, as the negotiated rates for many in-network plans exceed this amount. Additionally, the facility offers a prompt-pay discount for upfront payments, which can further reduce the final bill by bypassing costly claims processing and administrative labor.
When evaluating the value of this service, it is important to compare the facility's pricing against the Medicare benchmark, which serves as the objective baseline for true healthcare costs. The Medicare amount for this code is $6.48, and the facility's cash rate of $75.00 represents a significant markup relative to this federal standard. While the facility is a Critical Access Hospital in a rural area, patients should verify their specific plan details, as some in-network contracts may still result in higher out-of-pocket costs than the cash price. To ensure you are receiving the best possible rate, we recommend contacting the hospital directly to confirm "self-pay" or "prompt-pay" discounts before scheduling your visit and requesting a full itemized bill to avoid any potential balance billing or errors.