CMS Price Transparency Data

Blood test, lipase

Facility: Adventist Health Reedley

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Adventist Health Reedley is $10. 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 1.45x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $10 (145%)
Cash: $26 (377% of Medicare)
Ins. Median: $10 (145% 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
Bc Mcal $2 29%
Blue Shield Epn - All Other Plans $3 - $84 44%
Blue Shield Non Epn $3 - $97 44%
Healthnet- All Other Plans $3 - $82 44%
Kaiser - All Other Plans $3 - $94 44%
UnitedHealthcare $3 - $79 44%
Western Growers/Pinnacle- All Plans $3 - $87 44%
Cigna $4 - $123 58%
Physicians Med Group Op/Profee Only- All Plans $5 - $151 73%
Cal Viva Hlth Mcal - All Plans $6 - $8 87%
Community Care Ipa Mcal-All Plans $6 - $10 87%
Dignity Mcal Op/Profee Only-All Other Plans $6 - $9 87%
Kern Health Systems Mcal-All Plans $6 - $8 87%
Medi-Cal $6 - $8 87%
Blue Shield Mcare $7 102%
Dignity Mcr Adv Op/Profee Only $7 102%
Fhcn Pace Mcr Adv-All Plans $7 102%
Healthnet- Mcr Adv $7 102%
Kaiser Mcr Adv $7 102%
Phs Prime Health Srvcs $7 102%
Tricare $7 102%
Aetna $11 - $40 160%
Bright Health Mcr Adv - All Plans $11 160%
Ah Employee Health Plan - All Plans $12 174%
Healthnet Medi-Cal $21 - $28 305%
Blue Cross Blue Shield $31 - $88 450%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals