CMS Price Transparency Data

Blood test, lipase

Facility: Riverside Community Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $854
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Riverside Community Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $854. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.
Cash / Self-Pay
$854

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $854 (12395%)
Insurance Median: $8 (116%)
Cash: $854 (12395% of Medicare)
Ins. Median: $8 (116% 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
Bristol Hospice $6 87%
Aetna $7 - $154 102%
Alignment Health Plan $7 102%
Blue Cross Blue Shield $7 - $36 102%
Blue Shield $7 - $76 102%
Brand New Day $7 - $9 102%
Care1St Health Plan $7 102%
Central Health Plan $7 102%
Clever Care Of Golden State $7 102%
Easy Choice Health Plan $7 102%
Health Net $7 - $190 102%
Heritage Provider Network $7 - $9 102%
Humana $7 102%
Redlands Community Hospital $7 102%
Riverside Medical Clinic $7 - $8 102%
Riverside Physician $7 102%
Scan Health Plan $7 102%
Triwest Healthcare Alliance $7 102%
United $7 - $225 102%
UnitedHealthcare $7 102%
Corvel Corporation $8 116%
Healthsmart $8 - $683 116%
La Care Health $8 116%
Molina $8 116%
Next $8 - $683 116%
Inland Empire Health Plan $11 - $12 160%
Bright Health $17 247%
Cigna $19 276%
Medcare Partners $128 1858%
First Health $376 - $769 5457%
American Health System $384 5573%
Multiplan $683 - $726 9913%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4445 Magnolia Avenue, Riverside, CA 92501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals