CMS Price Transparency Data

Blood test, lipase

Facility: University of Alabama Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $66
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 9.58x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at University of Alabama Hospital is $66. 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 $6.89, this hospital’s rate is 9.58x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)
Insurance Median: $66 (958%)
Ins. Median: $66 (958% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.89 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 958% of the Medicare baseline (a markup of 858%). 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
Viva $5 - $7 73%
Humana $6 - $112 87%
Birmingham Fc $7 102%
Blue Cross Blue Shield $7 102%
Cigna $7 - $88 102%
Cooper Green $7 102%
Davita Villagehealth $7 102%
Jefferson County Sheriff $7 102%
Triwest $7 102%
UnitedHealthcare $7 - $72 102%
Ambetter / Centene $9 131%
University Of Alabama $26 - $66 377%
Aetna $32 - $81 464%
Coventry $34 - $107 493%
North Alabama Managed Care $34 - $86 493%
Comp One $38 - $95 552%
Alamed $40 - $99 581%
Construction Claims Management $40 - $99 581%
Corvel $42 - $106 610%
Evolutions $42 - $119 610%
Healthcare Alliance $42 - $106 610%
Novanet $42 - $119 610%
Prime Health Services $42 - $119 610%
Select Value Care $42 - $106 610%
Starcare $42 - $106 610%
Tethys $42 - $106 610%
Multiplan $43 - $108 624%
Department Of Labor $45 - $112 653%
Geha $45 - $112 653%
Gulf Health Plans $45 - $112 653%
Heritage Summit Health $45 - $112 653%
Mississippi Physicians $45 - $112 653%
Phifer $45 - $112 653%
Preferred Health Partnership $45 - $112 653%
Southern Nuclear $45 - $112 653%
Vantage Health Plan $45 - $112 653%
Galaxy Health Network $48 - $119 697%
National Provider Network $48 - $119 697%
North Mississippi Health Link $48 - $119 697%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals