CMS Price Transparency Data

Blood test, amylase

Facility: Fairview Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $38
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 5.86x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Fairview Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 5.86x the Medicare baseline. Located in 29 Lewis Avenue, Great Barrington, MA.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.48

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.48 (100%)
Cash / Self-Pay: $56 (864%)
Insurance Median: $38 (586%)
Cash: $56 (864% of Medicare)
Ins. Median: $38 (586% of 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 586% of the Medicare baseline (a markup of 486%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Capital District Physicians' Health Plan $5 - $53 77%
Medicaid / KanCare $5 - $6 77%
Aetna $6 - $45 93%
Bmchnp $6 - $7 93%
Health New England $6 - $41 93%
Hospice $6 - $23 93%
Medicare (plans) $6 - $23 93%
Other Government $6 - $23 93%
Point32Health $6 - $56 93%
UnitedHealthcare $6 - $51 93%
Blue Cross Blue Shield $7 - $50 108%
Fallon $7 - $26 108%
Commcare Alliance $8 - $23 123%
Comm Fallon Qhp $10 - $36 154%
Unicare $17 - $38 262%
Allways Nhp $38 586%
Workers Comp $38 586%
Comm Hne Hmo $39 - $44 602%
Comm Hne Ppo $41 - $44 633%
Cigna $53 - $55 818%
Mvp $53 818%
Oxford $53 818%
First Health $55 - $56 849%
Connecticare $56 864%
Consolidated Health Plans $56 864%
Other Commercial $56 864%
Phcs $56 864%
Self Pay $56 864%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 29 Lewis Avenue, Great Barrington, MA 01230
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals