CMS Price Transparency Data

Blood test, amylase

Facility: Samaritan Hospital of Troy, New York

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $21
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 3.24x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Samaritan Hospital of Troy, New York is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 3.24x the Medicare baseline. Located in 2215 Burdett Avenue, Troy, NY.
Cash / Self-Pay
$83

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $83 (1281%)
Insurance Median: $21 (324%)
Cash: $83 (1281% of Medicare)
Ins. Median: $21 (324% 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 324% of the Medicare baseline (a markup of 224%). 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
Albany County Correctional Facility $5 77%
Blue Cross Blue Shield $5 - $30 77%
Medicaid / KanCare $5 - $127 77%
Nascentia Health Options $5 77%
Eddy Seniorcare Pace $6 93%
Medicare (plans) $6 - $127 93%
Aetna $7 - $21 108%
Hudson Headwaters Pace $7 108%
Mvp $7 108%
Nascentia Health Plus $7 108%
Secure Horizons Ma Pffs $7 108%
UnitedHealthcare $7 - $127 108%
Fidelis Care $12 185%
Wellpath $15 231%
Harvard Pilgrim Healthcare $16 247%
Bcn Domestic $17 262%
Blue Care Network $17 262%
Unicare $17 262%
Blue Shield - Ny Highmark Northeastern $18 - $30 278%
1199 National Benefit Fund $21 324%
Allied Benefit Systems $21 324%
Asr Health Benefits $21 324%
Christian Brother Services $21 324%
Geha $21 324%
Lucent Health $21 324%
Luminare Health $21 324%
Medical Mutual $21 324%
Meritain $21 324%
Trustmark Small Business Benefits $21 324%
Blue Shield - Ca $30 463%
Blue Shield - Id (Regence) $30 463%
Blue Shield - Ny Highmark Western $30 463%
Blue Shield - Pa (Highmark) $30 463%
Blue Shield - Wa (Regence) $30 463%
Allegiance $57 880%
American Postal Workers Secondary $57 880%
Cigna $57 880%
Diversified Administrators $57 880%
Health Partners $57 880%
Priority Health $57 880%
Tufts Health Plan $57 880%
Webtpa $57 880%
Emblem Health $64 988%
Nova $64 988%
First Health $102 1574%
Health Republic $108 1667%
Independent Health $108 1667%
Magnacare $108 1667%
Health New England $114 1759%
Multiplan $114 1759%
Phcs $114 1759%
Carelon Behavioral Health $127 1960%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2215 Burdett Avenue, Troy, NY 12180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals