CMS Price Transparency Data

Blood test, lipase

Facility: Adventist Health Hanford

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $13
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Adventist Health Hanford is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.89x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $26 (377%)
Insurance Median: $13 (189%)
Cash: $26 (377% of Medicare)
Ins. Median: $13 (189% 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 $2 - $69 29%
Bc Mcal $2 29%
Blue Shield Epn $3 - $89 44%
Blue Shield Non-Epn - All Other Plans $3 - $97 44%
Healthnet - All Other Plans $3 - $101 44%
Kaiser - All Other Plans $3 - $94 44%
UnitedHealthcare $3 - $79 44%
Western Growers/Pinnacle- All Plans $3 - $87 44%
Cigna $4 - $112 58%
Community Hlth Ntwork-All Plans $4 - $127 58%
Phcs Ppo- All Plans $4 - $123 58%
Beech Street- All Plans $5 - $161 73%
Choicecare- All Plans $5 - $155 73%
First Health - All Plans $5 - $147 73%
Interplan- All Plans $5 - $159 73%
Multiplan- All Plans $5 - $157 73%
Fresno - All Plans $6 - $13 87%
Healthnet Mcal $6 - $10 87%
Kaiser Mcal $6 - $8 87%
Medi-Cal $6 - $8 87%
Pacific Health Alliance- All Plans $6 - $183 87%
Preferred Health Network- All Plans $6 - $180 87%
Valley Childrens - All Plans $6 - $13 87%
Blue Shield Mcr Adv $7 102%
Fhcn Pace Mcr Adv-All Plans $7 102%
Healthnet Mcr Adv $7 102%
Kaiser Mcr Adv $7 102%
Key Medical Mcr Adv $7 102%
Prime Health Mcr Adv- All Plans $7 102%
Tricare $7 102%
Key Medical Group Commercial - All Other Plans $10 - $13 145%
Bright Health Mcr Adv-All Plans $11 160%
Ah Employee Health Plan - All Plans $12 174%
Blue Cross Blue Shield $70 - $84 1016%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals