Blood test, amylase
Facility: Golden Valley Memorial Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $6
- Cash Discount Price: $48
- vs. Medicare Baseline: 0.93x 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.
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 |
|---|---|---|
| Aetna | $6 | 93% |
| Home State Health | $6 | 93% |
| Humana | $6 | 93% |
| UnitedHealthcare | $6 - $11 | 93% |
| Ambetter / Centene | $8 | 123% |
Consumer Guidance & Cost Commentary
For this blood test procedure, the facility's cash payment rate of $48 is significantly lower than the state average of $81 and the Medicare benchmark of $6.48, representing a substantial difference from the federal baseline. While the facility is a Government-owned Acute Care Hospital in Clinton, MO, with a rating of 3, the cash price remains the most accessible option for patients who do not have insurance coverage.
Insurance plans such as Aetna, Home State Health, Humana, UnitedHealthcare, and Ambetter / Centene have negotiated rates of $6 to $11, which are still higher than the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash rate of $48 upfront, as this avoids the administrative costs and potential deductibles associated with using their insurance. To secure the best possible price, it is recommended to explicitly request a "self-pay" or "prompt-pay" discount at the time of scheduling, ensuring the facility waives standard insurance billing processes to offer immediate liquidity incentives.