Blood test, amylase
Facility: Wamego Health Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $7
- Cash Discount Price: $45
- vs. Medicare Baseline: 1.08x 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 |
|---|---|---|
| Providrs Care | $6 | 93% |
| UnitedHealthcare | $6 | 93% |
| Aetna | $7 | 108% |
| Medicaid / KanCare | $7 | 108% |
| Blue Cross Blue Shield | $96 - $102 | 1481% |
Consumer Guidance & Cost Commentary
For the blood test code 82150 (Amylase) at Wamego Health Center in Wamego, KS, the cash median price is $45.00, which is significantly lower than the facility's gross charge of $113.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the negotiated rates vary widely by payer; for instance, Blue Cross Blue Shield plans pay between $96.00 and $102.00, whereas Medicaid/KanCare plans pay between $7.00 and $10.00. It is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics, meaning patients with high-deductible plans might save money by paying the cash price directly, provided they verify the facility's "self-pay" or "prompt-pay" discount policies before scheduling.
When evaluating the cost of this service, it is essential to compare rates against objective benchmarks rather than the hospital's inflated list price. The Medicare amount for this procedure is $6.48, and the facility's negotiated rate of $7.00 represents a markup of 1.1 times the Medicare rate, which aligns with fair pricing standards typically defined as 120% to 150% of Medicare. Patients should be aware that summary bills may obscure individual line items, so requesting a full itemized audit is a critical step to identify any unbundled codes or services not rendered. Furthermore, if a patient receives care from an out-of-network provider at this in-network facility, the No Surprises Act protects them from balance billing for emergency and non-emergency