CMS Price Transparency Data

Blood test, lipase

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $63
Cash Discount Price: $68
vs. Medicare Baseline: 9.14x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Medical West, An Affiliate of UAB Health System is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 9.14x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$63

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: $68 (987%)

Insurance Median: $63 (914%)

Cash: $68 (987% of Medicare)

Ins. Median: $63 (914% 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 914% of the Medicare baseline (a markup of 814%). 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
Aetna	$7 - $63	102%
Blue Cross Blue Shield	$7	102%
Cigna	$7 - $65	102%
Cooper Green	$7	102%
Humana	$7 - $76	102%
Jefferson County Sheriff	$7	102%
Triwest	$7	102%
United Mine Workers	$7	102%
UnitedHealthcare	$7 - $8	102%
Viva	$8 - $45	116%
Ambetter / Centene	$9	131%
Phcs	$54 - $63	784%
Beech Street	$56 - $63	813%
One Health Plan	$58	842%
Geha	$63	914%
Healthchoice	$63	914%
Alamed	$70	1016%
Construction Claims Management	$73	1060%
Corvel	$74 - $81	1074%
Multiplan	$74	1074%
Novanet	$75	1089%
Department Of Labor	$78	1132%
Heritage Summit Health	$78	1132%
Pnoa	$81	1176%
Three Rivers	$81	1176%

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 $68.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical West, An Affiliate of UAB Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
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.