CMS Price Transparency Data

Blood test, amylase

Facility: Margaretville Memorial Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $59
Cash Discount Price: $133
vs. Medicare Baseline: 9.10x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Margaretville Memorial Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 9.10x the Medicare baseline. Located in 42084 State Highway 28, Margaretville, NY.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $133 (2052%)

Insurance Median: $59 (910%)

Cash: $133 (2052% of Medicare)

Ins. Median: $59 (910% 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 910% of the Medicare baseline (a markup of 810%). 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
UnitedHealthcare	$10 - $59	154%
Oxford	$10	154%
Aetna	$18 - $133	278%
Mvp	$28	432%
Mvp Hmo/Ppo	$32	494%
Blue Cross Blue Shield	$38 - $59	586%
Self-Pay	$55	849%
Mvp Gold (McR)	$59	910%
Medicare (plans)	$59 - $88	910%
Hamaspik (McR)	$59	910%
Affinity By Molina McR	$61	941%
Cdphp	$64	988%
Emblem Ghi/Hip Ppo/Cbp	$82	1265%
Mvp Exchange	$86	1327%
Emblem Select Care (Exchange)	$90	1389%
Magnacare Standard	$93	1435%
Oxford Exchange	$93	1435%
Todays Options	$97	1497%
Emblem Ghi/Hip Hmo/Epo/Pos	$106	1636%
Multiplan	$109	1682%
First Health	$120	1852%
Magnacare Preferred	$525	8102%

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 $133.
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 Margaretville Memorial Hospital 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.