Blood test, amylase
Facility: Morris County Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $52
- Cash Discount Price: $80
- vs. Medicare Baseline: 8.02x 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 802% of the Medicare baseline (a markup of 702%). 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $6 | 93% |
| Aetna | $7 | 108% |
| Va Ccn-All Plans | $9 | 139% |
| Blue Cross Blue Shield | $24 - $52 | 370% |
| Coventry Mcr | $52 | 802% |
| UnitedHealthcare | $52 - $134 | 802% |
| Choice Care Mcr Adv-All Plans | $52 | 802% |
| Cigna | $97 | 1497% |
| Multiplan-All Plans | $121 | 1867% |
| Coventry Comm-All Other Plans | $121 | 1867% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Morris County Hospital in Council Grove, Kansas, the facility's cash median price is $80.00, which is notably lower than the state average of $134.00. While the hospital's negotiated rates with major insurers like UnitedHealthcare and Blue Cross Blue Shield range from $52.00 to $134.00, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket and seeking prompt-pay discounts before the insurance claim is processed. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details and ask the hospital directly about self-pay or prompt-pay incentives to ensure they are not paying more than necessary.
The facility's Medicare benchmark rate is $6.48, which serves as a baseline for evaluating pricing fairness; commercial negotiated rates are typically 200% to 300% of this amount, though fair pricing is often defined as 120% to 150%. In this case, the median negotiated rate of $52.00 aligns with the lower end of typical commercial markups relative to Medicare. Patients should request a full itemized bill to review specific CPT codes and avoid paying for services not rendered or unbundled charges, as over 80% of hospital bills contain errors. If you receive a large bill after using insurance, do not pay immediately; instead, dispute the charges in writing to the billing supervisor to correct any potential mistakes before finalizing payment.