CMS Price Transparency Data

Blood test, lipase

Facility: Mena Regional Health System

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Mena Regional Health System is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 311 North Morrow Street, Mena, AR.
Cash / Self-Pay
$63

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: $63 (914%)
Insurance Median: $7 (102%)
Cash: $63 (914% 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
Aetna $7 102%
Allwell Mcr Adv $7 102%
Ar Superior Select Tribute Health Plan Mcr Adv $7 102%
Blue Cross Blue Shield $7 - $8 102%
Cigna $7 102%
Humana $7 102%
Medicare (plans) $7 102%
UnitedHealthcare $7 102%
Vapccc3 All Regions 1-6 Dos Gt 1/30/19 $7 102%
Wellcare Health Plan Inc Mcr Adv $7 102%
Ambetter / Centene $9 131%
Qualchoice $10 145%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 311 North Morrow Street, Mena, AR 71953
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals