Blood test, amylase
Facility: Regional Medical Center
Billing Code: 82150 (CPT)
- CPT Billing Code: 82150
- Insurance Median: $870
- Cash Discount Price: $40
- vs. Medicare Baseline: 134.26x 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 13426% of the Medicare baseline (a markup of 13326%). 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 |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 13426% |
Consumer Guidance & Cost Commentary
For patients at Regional Medical Center in Manchester, Iowa, this blood test, amylase procedure has a cash price of $40, which is notably lower than the facility's gross charge of $50. While the facility is a government-owned Critical Access Hospital with a high 4-star rating, the cash rate remains the most accessible option for patients without insurance coverage. Because the cash price of $40 is significantly lower than the insurance negotiated rate of $870 and the Medicare amount of $6.48, paying out-of-pocket may be the most cost-effective choice for individuals with high-deductible plans or those who have not yet met their annual out-of-pocket maximum.
The facility's median negotiated rate of $870 from Medical Associates Health Plan - Tri is substantially higher than the cash price, illustrating how administrative costs and insurance processing can inflate the final bill. Although Medicare rates are often used as a benchmark for fair pricing, the commercial negotiated rate here exceeds the Medicare amount of $6.48 by a wide margin. Patients should be aware that hospitals frequently offer prompt-pay discounts for upfront payment, which could further reduce the $40 cash price, and it is advisable to request a self-pay classification before scheduling to avoid automatic claims submission.