Blood test, amylase
Facility: Oakleaf Surgical Hospital
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $6
- Cash Discount Price: $47
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $6 | 93% |
| Dean Health Plan | $6 | 93% |
| Group Health Cooperative Of Eau Claire | $6 | 93% |
| Healthpartners | $6 | 93% |
| Humana | $6 | 93% |
| Medica | $6 | 93% |
| Quartz Health Solutions | $6 | 93% |
| Security Health Plan Of Wi | $6 | 93% |
| Ucare Wi | $6 | 93% |
| UnitedHealthcare | $6 | 93% |
Consumer Guidance & Cost Commentary
For patients paying cash directly, the most important thing to know is that the cash rate for this blood test is $47, which is significantly lower than the facility's gross charge of $53. Because commercial insurance plans often negotiate rates that are much higher than cash prices, a self-pay patient might save money by paying the cash rate or by asking for a prompt-pay discount before the visit. It is crucial to verify if the insurance plan has a deductible that has not yet been met, as paying the negotiated rate could result in a higher out-of-pocket cost than paying cash outright.
When viewed against broader pricing benchmarks, this service's cash rate is notably higher than the state average of $6.48 and the facility's median negotiated rate of $6. While the facility is owned by physicians and located in Altoona, Wisconsin, the wide gap between the cash price and the Medicare benchmark of $6.48 highlights how commercial rates can vary significantly. Patients should be aware that comparing the cash rate to the gross charge can be misleading, as the gross charge is often inflated to make discounts appear larger; therefore, the most accurate comparison is always made against the Medicare rate or the negotiated rate to understand the true cost structure.