CMS Price Transparency Data

Blood test, amylase

Facility: Elmhurst Hospital Center

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $25
Cash Discount Price: Unavailable
vs. Medicare Baseline: 3.86x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Elmhurst Hospital Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 3.86x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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%)

Insurance Median: $25 (386%)

Ins. Median: $25 (386% 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 386% of the Medicare baseline (a markup of 286%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$5 - $19	77%
Healthfirst	$5 - $55	77%
Elderplan	$6	93%
Fidelis	$6 - $55	93%
Magnacare	$8	123%
Oxford	$9	139%
United	$9 - $31	139%
Oscar	$10	154%
Centerlight	$14	216%
Cigna	$16	247%
Wellcare	$16	247%
Carelon	$18 - $25	278%
Emblem	$19 - $33	293%
Blue Cross Blue Shield	$21 - $55	324%
Multiplan	$22	340%
Local 1199	$23	355%
Villagecare Max	$23	355%
Vnsny	$23 - $25	355%
Metroplus	$24 - $55	370%
Affinity	$25 - $55	386%
Amidacare	$25	386%
Carelon (Amida Care)	$25	386%
Senior Whole Health	$25	386%
United Behavioral Health	$25 - $27	386%

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 $X.
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 Elmhurst Hospital 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.