CMS Price Transparency Data

Blood test, lipase

Facility: Northwest Medical Center Sahuarita

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $144
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Northwest Medical Center Sahuarita is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$144

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: $144 (2090%)
Insurance Median: $7 (102%)
Cash: $144 (2090% 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 - $11 102%
Banner Mcr Adv $7 102%
Blue Cross Blue Shield $7 - $68 102%
Cigna $7 - $11 102%
Department Of Veterans Affairs $7 102%
Humana $7 102%
Medicaid / KanCare $7 102%
Medicare (plans) $7 102%
Mercy Care $7 102%
Node Banner Mcr Adv $7 102%
Node Caremore Mcr Adv $7 102%
Node Champva $7 102%
Node Clover Health Mcr Adv $7 102%
Node Devoted Health Mcr Adv $7 102%
Node Mercy Care Mcr Adv $7 102%
Node Non Par Hospice Agree $7 102%
Node Triwest $7 102%
Node Va $7 102%
Node Wellcare Mcr Adv $7 102%
Tricare $7 102%
UnitedHealthcare $7 - $8 102%
Node Us Dept Of Labor $9 131%
Ambetter / Centene $10 145%
Node Health Choice Health Exchange $10 145%
Node Fusion Network $12 174%
Node J Allen Inmate Health Svcs $13 189%
Self Pay $91 - $197 1321%
Coventry Work Comp Al $304 4412%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals