Blood test, amylase
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $93
- Cash Discount Price: $125
- vs. Medicare Baseline: 14.35x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1435% of the Medicare baseline (a markup of 1335%). 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.
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 | $75 | 1157% |
| Americas Choice Provider Network | $87 | 1343% |
| Quiktrip Corporation | $93 | 1435% |
| Usa Managed Care Organization | $93 | 1435% |
| Provider Network Of America | $93 | 1435% |
| Velocity | $93 | 1435% |
| Multiplan-Phcs | $100 | 1543% |
| Prime Health Services | $106 | 1636% |
| Medincrease | $112 | 1728% |
Consumer Guidance & Cost Commentary
For the blood test code 82150 (Amylase) at the Rehabilitation Hospital Of Overland Park, the cash price is $125.00, which matches the facility's listed gross charge. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and Prime Health Services range from $75 to $106, these amounts are generally lower than the cash price. This pricing structure suggests that for patients with high-deductible plans or those without insurance, paying the cash price directly may be more cost-effective than relying on insurance, as the insurer's negotiated rate often exceeds the cash-pay option. However, patients should always verify their specific plan's deductible status before scheduling, as paying the negotiated rate could result in out-of-pocket costs if the deductible has not been met.
It is important to note that the facility's cash rate of $125.00 is significantly higher than the national Medicare benchmark of $6.48, reflecting the standard commercial markup for this service. While the data does not provide a specific state or county average for comparison, the wide variation in negotiated rates among different payers highlights the importance of checking for "self-pay" or "prompt-pay" discounts before finalizing any appointment. If a patient receives a bill from an out-of-network provider or encounters unexpected charges, they should request an itemized audit to identify errors or unbundled codes, as over 80% of hospital bills contain discrepancies. Furthermore, under the No Surprises Act, patients are protected from balance billing for emergency care and non-emergency services at in-network facilities, making it crucial to review any consent forms carefully before signing.