CMS Price Transparency Data

Blood test, lipase

Facility: Flagstaff Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $13
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Flagstaff Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.89x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $109 (1582%)
Insurance Median: $13 (189%)
Cash: $109 (1582% of Medicare)
Ins. Median: $13 (189% 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 - $186 102%
Ahcccs $7 102%
Ahcccs Other $7 102%
Carefirst $7 102%
Devoted $7 102%
Fmc 30/70 $7 102%
Fmc Ihs $7 102%
Fmc Jail $7 102%
Health Choice $7 - $13 102%
Health Choice Arizona $7 102%
Health Choice Integrated Care $7 102%
Health Net Federal $7 102%
Health Net Of Arizona $7 102%
Humana $7 - $207 102%
Medicare (plans) $7 102%
Mercy Care $7 102%
Mercy Care Advantage $7 102%
Mercy Care Rhba $7 102%
Nhi Out Of State Ahcccs $7 102%
Rehabilitation Hospital Of Northern Arizona $7 102%
Snf Fmc $7 102%
UnitedHealthcare $7 - $202 102%
University Of Arizona Health Plans $7 - $8 102%
Va Pccc Triwest $7 102%
Wellcare $7 102%
Wellcare By Allwell $7 102%
Ambetter / Centene $8 116%
Pnoa $10 145%
Naphcare $12 - $14 174%
Self Pay $109 - $218 1582%
Self-Pay 50% Discount $109 1582%
Blue Cross Blue Shield $128 - $160 1858%
Workers Comp $142 2061%
Copperpoint $160 2322%
Nau Athletic Department $175 2540%
Cigna $197 2859%
Fmc 90/10 $197 2859%
Rural Arizona Network Multiplan $197 2859%
United Behavioral Health $218 3164%
Auto Insurance $5,000 72569%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals