Blood test, amylase
Facility: William Newton Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $32
- Cash Discount Price: $66
- vs. Medicare Baseline: 4.94x 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 494% of the Medicare baseline (a markup of 394%). 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 |
|---|---|---|
| UnitedHealthcare | $4 - $81 | 62% |
| Triwest- All Plans | $23 - $31 | 355% |
| Ambetter / Centene | $23 - $90 | 355% |
| Blue Cross Blue Shield | $23 - $32 | 355% |
| Providrs Care Nexus | $39 - $55 | 602% |
| Providrs Care - All Other Plans | $45 - $63 | 694% |
Consumer Guidance & Cost Commentary
For this blood test procedure at William Newton Hospital in Winfield, KS, the cash price is $66.00, which matches the facility's median negotiated rate. While the hospital is an in-network Critical Access Hospital with government ownership, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. In this specific case, the median negotiated amount is also $32.00, which is lower than the cash price, suggesting that using insurance may result in a lower out-of-pocket cost for those with active coverage. However, for patients with high-deductible plans who have not yet met their deductible, paying the cash price directly could be more cost-effective than facing a balance bill for the difference between the provider's full charge and the insurance allowed amount.
To ensure you are not overcharged, it is crucial 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 verify their specific plan details, as the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, but emergency ancillary services may still trigger unexpected charges if not properly coordinated. Finally, always ask the billing department about self-pay or prompt-pay discounts before scheduling, as paying in full upfront can sometimes bypass insurance processing and secure a lower rate, though in this instance, the negotiated rate is already competitive with the cash price.