CMS Price Transparency Data

Blood test, lipase

Facility: Paradise Valley Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Paradise Valley Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$6

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: $6 (87%)
Insurance Median: $7 (102%)
Cash: $6 (87% 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 - $9 102%
Blue Sheid Of Promise $7 102%
Blue Shield Of Ca, Va $7 102%
Brand New Day $7 - $10 102%
Ca Foundation For Medical Care $7 102%
Central Health $7 102%
Choice Physicians Network $7 102%
Clever Care Of Golden State, Inc $7 102%
Community Health Group $7 - $8 102%
County Of San Diego $7 102%
Golden Physicians Medical Group $7 - $9 102%
Health Excel Ins $7 102%
Health Net Of Ca $7 - $10 102%
Heritage Provider Netwrok $7 - $9 102%
Imperial Health Plan Of Ca $7 102%
Managed Health Network $7 102%
Medicare (plans) $7 102%
Molina $7 102%
Renal Payer Solutions $7 102%
Traditional Medi-Cal $7 102%
Tricare $7 102%
UnitedHealthcare $7 - $12 102%
Usa Senior Care Network $7 102%
Verda Health Plan $7 102%
Health Net Federal Service (Cdcr) $9 131%
Integrated Medical Solutions $9 131%
Veterans Evaluation Services $9 131%
Worker Comp $9 131%
Ca Dept Of Correction & Rehab $10 145%
Employer Direct Healthcare $10 145%
Naphcare $11 - $14 160%
Scripps Health $11 - $12 160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals