CMS Price Transparency Data

Blood test, lipase

Facility: Medical Center Enterprise

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $141
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Medical Center Enterprise is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$141

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: $141 (2046%)
Insurance Median: $7 (102%)
Cash: $141 (2046% 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 $3 - $5 44%
Bc Pml $6 87%
Blue Cross Blue Shield $6 - $7 87%
Node Champva $6 87%
Tricare $6 87%
UnitedHealthcare $6 - $7 87%
Aetna $7 - $506 102%
Al Maternity Waiver Program $7 102%
Covenant Hospice $7 102%
Dayspring Hospice $7 102%
Eon Health $7 102%
Healthspring $7 102%
Humana $7 102%
Medicare (plans) $7 102%
Node Clover Mcr Adv $7 102%
Node Devoted Health Mcr Adv $7 102%
Node Hospice Non Par $7 102%
Node Va $7 102%
Node Wellcare Mcr Adv $7 102%
Occunet $7 102%
Select Health $7 102%
Southerncare Hospice $7 102%
Veterans Eval Services $7 102%
Wiregrass Hospice $7 102%
Node Us Dept Of Labor $9 131%
Ambetter / Centene $10 145%
Cigna $12 - $63 174%
Self Pay $65 - $217 943%
American Employee Alliance $289 4194%
Alamed $434 6299%
Affordable Health $506 7344%
Health Choice $506 7344%
Novanet Ppo $506 7344%
Coventry Work Comp Al $532 7721%
Multiplan $535 - $571 7765%
Wc Dept Ind Relations $578 8389%
Corvel $614 8911%
Galaxy Health $650 9434%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals