CMS Price Transparency Data

Blood test, amylase

Facility: Ellenville Regional Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82150
  • Insurance Median: $11
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a Blood test, amylase at Ellenville Regional Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 1.70x the Medicare baseline. Located in 10 Healthy Way, Ellenville, NY.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $14 (216%)
Insurance Median: $11 (170%)
Cash: $14 (216% of Medicare)
Ins. Median: $11 (170% 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.

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
UnitedHealthcare $3 - $14 46%
Emblemhealth $6 - $15 93%
Cdphp $7 108%
Blue Cross Blue Shield $8 123%
Fidelis $8 123%
Hamaspik Choice $8 123%
Humana $8 123%
Mvp Health Care Of Ny $8 - $14 123%
Aetna $9 - $12 139%
Local 1199Seiu $9 - $12 139%
Wellcare $10 154%
Galaxy Health $12 185%
Oxford Health Plans $14 216%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10 Healthy Way, Ellenville, NY 12428
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals