Blood test, amylase
Facility: Amberwell Atchison Association
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $41
- Cash Discount Price: $84
- vs. Medicare Baseline: 6.33x 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 633% of the Medicare baseline (a markup of 533%). 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 |
|---|---|---|
| Superior Select Mcr Adv - All Plans | $21 - $30 | 324% |
| Va Ccn - All Plans | $21 - $30 | 324% |
| UnitedHealthcare | $21 - $165 | 324% |
| Humana | $21 - $41 | 324% |
| Triwest - All Plans | $21 - $30 | 324% |
| Blue Cross Blue Shield | $24 - $25 | 370% |
| Ambetter / Centene | $33 - $47 | 509% |
| Aetna | $35 - $51 | 540% |
| Cigna | $35 - $51 | 540% |
| Centrus Health Direct - All Plans | $48 - $69 | 741% |
| Oscar - All Plans | $48 - $69 | 741% |
| Multiplan - All Plans | $50 - $72 | 772% |
| Wppa Providrs Care - All Plans | $58 - $83 | 895% |
Consumer Guidance & Cost Commentary
For the blood test, amylase (CPT code 82150), the cash median price at Amberwell Atchison Association is $84.00, which matches the facility's gross charge. This cash rate is significantly higher than the state average for Kansas, where the median cash price for this procedure is $6.48. While commercial insurance plans negotiate rates ranging from $21 to $83 depending on the carrier, these negotiated amounts often exceed the cash price. For patients with high-deductible plans or those without insurance, paying the cash rate directly may be more cost-effective than relying on insurance, especially if the negotiated rate for their specific plan is above $84.00.
To ensure you are receiving the best possible price, it is essential to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, patients should inquire about prompt-pay discounts, which can reduce the bill by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing. Since the facility is a Critical Access Hospital in Atchison, KS, and operates as a voluntary non-profit, verifying the specific "self-pay" or "prompt-pay" classification at registration can prevent unexpected charges and ensure you are not subject to balance billing for out-of-network ancillary services.