CMS Price Transparency Data

Blood test, amylase

Facility: Bob Wilson Memorial Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $48
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 7.41x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Bob Wilson Memorial Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 7.41x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.48

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.48 (100%)
Cash / Self-Pay: $24 (370%)
Insurance Median: $48 (741%)
Cash: $24 (370% of Medicare)
Ins. Median: $48 (741% of 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 741% of the Medicare baseline (a markup of 641%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Centura Employee Plan $8 123%
UnitedHealthcare $17 - $56 262%
Medicare (plans) $17 - $21 262%
Kansas Health $17 - $21 262%
Humana $17 - $21 262%
Aetna $17 - $54 262%
Blue Cross Blue Shield $33 509%
Multiplan $48 - $62 741%
Wppa $51 - $64 787%
Health Partners Of Kansas $51 - $63 787%

Consumer Guidance & Cost Commentary

For this blood test procedure at Bob Wilson Memorial Hospital in Ulysses, Kansas, the facility's cash median price is $24.00, which is significantly lower than the state average of $48.00. While the hospital's negotiated rates for various payers range from $8 to $64, patients with high-deductible plans may find the cash price more advantageous if their insurance allows a higher allowed amount than the cash rate. It is important to note that the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, and patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling to potentially reduce the final cost further.

The Medicare benchmark for this service is $6.48, which serves as a baseline for evaluating the facility's pricing markup. The facility's cash rate of $24.00 is 7.4 times the Medicare amount, reflecting the standard administrative and operational costs associated with commercial billing. Although the hospital's negotiated rates vary widely among the ten payer plans listed, the cash price remains the most transparent and potentially lowest option for those without insurance or with high out-of-pocket maximums. Consumers are advised to request an itemized bill to verify that no unbundled codes or services not rendered have inflated the total charge.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals