Blood test, amylase
Facility: Smith County Memorial Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $36
- Cash Discount Price: $38
- vs. Medicare Baseline: 5.56x 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 556% of the Medicare baseline (a markup of 456%). 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 | 386% |
| Medicaid / KanCare | $27 - $38 | 417% |
| Multiplan-All Plans | $34 | 525% |
| Wppa-All Plans | $36 | 556% |
| Midlands Choice-All Plans | $36 | 556% |
| Health Partners Of Ks Ppo-All Plans | $36 | 556% |
| UnitedHealthcare | $36 | 556% |
Consumer Guidance & Cost Commentary
For the blood test code 82150 (Amylase) at Smith County Memorial Hospital in Smith Center, Kansas, the cash price is $38.00, which matches the facility's cash median. This rate is notably lower than the negotiated rates paid by most insurance payers, with the median negotiated amount being $36.00 and the highest negotiated rate reaching $38.00. While the facility is a Critical Access Hospital with government-local ownership, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the insurer's allowed amount often exceeds the cash rate. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront incentives can further reduce the final cost.
When evaluating this charge, it is important to compare the rates against the Medicare benchmark rather than the hospital's gross list price. The Medicare amount for this service is $6.48, meaning the cash price of $38.00 represents a significant markup above the federal baseline. Although the data does not provide specific state or county average comparisons for this exact code, the facility's cash rate remains competitive relative to the commercial negotiated rates observed across the seven payers listed. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, they should still request an itemized bill to ensure no unbundled charges or errors exist, as over 80% of hospital bills contain discrepancies that can be corrected through a formal audit.