CMS Price Transparency Data

Blood test, amylase

Facility: Garnet Health Medical Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $8
Cash Discount Price: $21
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Garnet Health Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 1.23x the Medicare baseline. Located in 707 East Main Street, Middletown, NY.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $21 (324%)

Insurance Median: $8 (123%)

Cash: $21 (324% of Medicare)

Ins. Median: $8 (123% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$6 - $8	93%
UnitedHealthcare	$6	93%
Fidelis	$7	108%
Wellcare	$7	108%
Local 1199	$8	123%
Cigna	$9	139%
Rojw	$11	170%
Northwell Direct	$13	201%
Geisinger Health Plan	$16	247%
Blue Cross Blue Shield	$18	278%
Mvp	$21	324%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $21.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82150.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Garnet Health Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82150.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.