CMS Price Transparency Data

Blood test, lipase

Facility: Adventist Health St Helena

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Adventist Health St Helena is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 10 Woodland Road, Saint Helena, CA.
Cash / Self-Pay
$76

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: $76 (1103%)
Insurance Median: $7 (102%)
Cash: $76 (1103% 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
Blue Shield Behav Hlth $3 - $228 44%
Blue Shield Epn-All Other Plans $3 - $238 44%
Blue Shield Non-Epn $3 - $235 44%
Phcs-All Plans $3 - $278 44%
UnitedHealthcare $3 - $323 44%
Western Growers-All Plans $3 - $268 44%
Choicecare-All Plans $4 - $354 58%
Interplan-All Plans $4 - $329 58%
Beech Street-All Plans $5 - $380 73%
Cigna $5 - $405 73%
Galaxy Network-All Plans $5 - $455 73%
Health Management Network-All Plans $5 - $430 73%
Kaiser-All Other Plans $5 - $415 73%
Three Rivers-All Plans $5 - $455 73%
Va Medi-Cal $6 - $8 87%
Blue Shield Bh Mcr Adv $7 102%
Blue Shield Mcr Adv $7 102%
Kaiser Mcr Adv $7 102%
Tricare $7 102%
Va Mcr - All Other Plans $7 102%
Ah Employee Health Plan - All Plans $12 174%
Healthnet-All Plans $35 508%
Aetna $40 581%
Blue Cross Blue Shield $60 - $79 871%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10 Woodland Road, Saint Helena, CA 94574
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals