CMS Price Transparency Data

Blood test, lipase

Facility: Gadsden Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $82
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Gadsden Regional Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$82

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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%)
Cash / Self-Pay: $82 (1190%)
Insurance Median: $7 (102%)
Cash: $82 (1190% of Medicare)
Ins. Median: $7 (102% 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.

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
Medicaid / KanCare $5 73%
Bc Pml $6 87%
Node Champva $6 87%
Tricare $6 87%
UnitedHealthcare $6 - $7 87%
Aetna $7 - $284 102%
Amedisys Hospice $7 102%
Blue Cross Blue Shield $7 102%
Cigna $7 - $43 102%
Gadsden Hospice $7 102%
Humana $7 102%
Medicare (plans) $7 102%
Node Clover Health Mcr Adv $7 102%
Node Devoted Health Mcr Adv $7 102%
Node Eon Mcr Adv $7 102%
Node Non Par Hospice Agree $7 102%
Node Select Health Mcr Adv $7 102%
Node Va $7 102%
Node Viva Mcr Adv $7 102%
Node Wellcare Mcr Adv $7 102%
Prime Health $7 - $396 102%
Southern Care Hospice $7 102%
Veterans Eval Services $7 102%
Node Us Dept Of Labor $9 131%
Ambetter / Centene $10 145%
Self Pay $66 - $99 958%
American Employee Alliance $219 3179%
Multiplan $307 - $345 4456%
Magellan Behavioral $329 4775%
Viva Healthcare $329 4775%
First Health $383 - $442 5559%
Beech Street $400 - $1,525 5806%
Alamed Wc $411 5965%
Focus Health $419 6081%
Coventry Work Comp Al $428 6212%
Work Comp $466 6763%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals