CMS Price Transparency Data

Blood test, amylase

Facility: Elizabethtown Community Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $84
  • Cash Discount Price: $144
  • vs. Medicare Baseline: 12.96x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Elizabethtown Community Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 12.96x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.
Cash / Self-Pay
$144

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $144 (2222%)
Insurance Median: $84 (1296%)
Cash: $144 (2222% of Medicare)
Ins. Median: $84 (1296% 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 1296% of the Medicare baseline (a markup of 1196%). 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 - $118 77%
Humana $6 93%
Aetna $55 - $94 849%
Blue Cross Blue Shield $55 - $108 849%
Choicecare $55 - $115 849%
Fidelis Care $55 849%
Martins Point $55 849%
Mvp $55 - $112 849%
UnitedHealthcare $55 - $133 849%
Veterans Affairs Community Care Network $55 849%
Wellpath $82 1265%
Emblem Health $115 1775%
Harvard Pilgrim $115 1775%
Magnacare $115 1775%
Highmark Blueshield $117 1806%
Coventry $122 1883%
Multiplan $130 2006%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 75 Park Street, Elizabethtown, NY 12932
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals