CMS Price Transparency Data

Blood test, amylase

Facility: Nkc Health

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $46
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 7.10x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Nkc Health is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 7.10x the Medicare baseline. Located in 2800 Clay Edwards Drive, North Kansas City, MO.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $36 (556%)
Insurance Median: $46 (710%)
Cash: $36 (556% of Medicare)
Ins. Median: $46 (710% 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 710% of the Medicare baseline (a markup of 610%). 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
Ambetter / Centene $6 93%
UnitedHealthcare $6 - $8 93%
Blue Cross Blue Shield $7 - $116 108%
Humana $7 108%
Oscar $8 123%
Occunet Network $13 201%
Wellfit $13 - $14 201%
Centivo $15 231%
Centrus Health Direct $15 - $17 231%
Cigna $36 - $81 556%
Aetna $39 - $141 602%
Quiktrip $46 - $103 710%
Multiplan $53 - $138 818%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2800 Clay Edwards Drive, North Kansas City, MO 64116
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals