Blood test, amylase
Facility: Memorial Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $53
- Cash Discount Price: $96
- vs. Medicare Baseline: 8.18x 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 818% of the Medicare baseline (a markup of 718%). 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 | $18 | 278% |
| Humana | $48 | 741% |
| Medicare (plans) | $48 | 741% |
| Tricare | $48 | 741% |
| Ambetter / Centene | $53 | 818% |
| Coventry - All Other Plans | $86 | 1327% |
| Preferred Healthcare-All Plans | $91 | 1404% |
| Health Partners Of Kansas - All Plans | $91 | 1404% |
| Wppa/Providers Care-All Plans | $134 | 2068% |
Consumer Guidance & Cost Commentary
For CPT code 82150, a blood test for amylase, Memorial Hospital in Abilene, KS, lists a cash median price of $96.00, which matches the facility's gross chargemaster rate. While the hospital is a Critical Access Hospital owned by a government authority, the negotiated rates for in-network payers range from $18 to $134, with the median negotiated amount being $53.00. This indicates that for patients with high-deductible plans or those paying out-of-pocket, the cash price of $96.00 may actually be higher than the average commercial negotiated rate of $53.00. However, patients should verify their specific plan's deductible status and ask the hospital directly about "self-pay" or "prompt-pay" discounts, as these upfront fee reductions can sometimes lower the final cost below the standard cash price.
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 healthcare costs. The Medicare amount for this procedure is $6.48, meaning the facility's cash price represents a significant markup over the federal government's calculated cost. While the data does not provide specific county or state average comparisons for this exact code, the wide variance in negotiated rates across different insurers—ranging from $18 for Blue Cross Blue Shield to $134 for Wppa/Providers Care—highlights that network status alone does not guarantee the lowest price. Consumers are advised to request an itemized billing audit if they receive a summary bill, as over 80% of hospital bills contain errors such as unbundled