CMS Price Transparency Data

Blood test, lipase

Facility: Flowers Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $11
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Flowers Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.60x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$52

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
$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)
Cash / Self-Pay: $52 (755%)
Insurance Median: $11 (160%)
Cash: $52 (755% of Medicare)
Ins. Median: $11 (160% 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%
Alabama Rehab $5 73%
Bc Pml $6 87%
Node Champva $6 87%
Tricare $6 87%
UnitedHealthcare $6 - $7 87%
Aetna $7 - $169 102%
Blue Cross Blue Shield $7 102%
Care Improvement Plus $7 102%
Cigna $7 - $11 102%
Compassionate Hands $7 102%
Covenant Hospice $7 102%
Dayspring Hospice $7 102%
Eon Health Care $7 102%
Humana $7 102%
Medicare (plans) $7 102%
Node Clover Health Mcr Adv $7 102%
Node Devoted Health Mcr Adv $7 102%
Node Hospice Non Par $7 102%
Node Va $7 102%
Node Viva Mcr Adv $7 102%
Node Wellcare Mcr Adv $7 102%
Occunet $7 102%
Prime Health $7 - $164 102%
Select Health $7 102%
Southern Care Hospice $7 102%
Veterans Eval Services $7 102%
Vistacare Hospice $7 102%
Wiregrass Hospice $7 102%
Node Us Dept Of Labor $9 131%
Ambetter / Centene $10 145%
Self Pay $35 - $70 508%
S & S Healthcare $58 842%
Choicecare Commercial $81 1176%
American Employee Alliance $93 1350%
Coventry Healthcare $116 - $177 1684%
Viva Health $139 2017%
Multiplan $151 - $186 2192%
Standard Textile $162 2351%
Alamed Wc $164 2380%
Health Choice $169 2453%
Equian $174 - $183 2525%
Qhp $174 2525%
Novanet $186 2700%
Alabama Work Comp $193 2801%
Ccn/Mednet Ppo $197 2859%
Corvel $197 2859%
Industry Buying Group $197 2859%
Galaxy Health $209 3033%
Health Payors Org $209 3033%
National Provider Net $209 3033%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals