CMS Price Transparency Data

Blood test, lipase

Facility: El Centro Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $142
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 20.61x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at El Centro Regional Medical Center is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 20.61x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$142

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: $128 (1858%)
Insurance Median: $142 (2061%)
Cash: $128 (1858% of Medicare)
Ins. Median: $142 (2061% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2061% of the Medicare baseline (a markup of 1961%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 Cross Blue Shield $7 - $192 102%
Brand New Day Comm - All Other Plans $7 102%
Brand New Day Mcr $7 102%
Healthnet Mcr Adv $7 102%
Molina Mcr Adv $7 102%
Scp Managed Care - All Plans $7 102%
Tricare $7 102%
UnitedHealthcare $7 - $96 102%
Easy Choice Mcr Adv-All Plans $8 116%
Cdcr Correctional-All Plans $9 131%
Healthnet Hmo $9 131%
Blue Shield-All Plans $43 624%
Aetna $77 - $84 1118%
Pacificare-All Plans $108 - $119 1567%
Mulitplan Primary - All Other Plans $119 - $131 1727%
Cigna $131 - $144 1901%
Multiplan Comp $140 - $154 2032%
Trident - All Plans $149 - $163 2163%
Healthnet Comm-All Other Plans $158 - $173 2293%
Humana $163 - $179 2366%
Ahccs/Medi-Cal Misc - All Plans $175 - $192 2540%
Brand New Day Mcal $175 - $192 2540%
Medi-Cal $175 - $192 2540%
Molina Exchange - All Other Plans $175 - $192 2540%
Ambetter / Centene $180 - $198 2612%
Molina Mcal $192 - $211 2787%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals