CMS Price Transparency Data
Blood test, lipase
Facility: Watsonville Community Hospital
Billing Code: 83690 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83690
- Insurance Median: $9
- Cash Discount Price: $339
- vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Watsonville Community Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $339. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$339
Average discount available for prompt cash payment at this facility.
Insurance Median
$9
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: $339 (4920%)
Insurance Median: $9 (131%)
Cash: $339 (4920% of Medicare)
Ins. Median: $9 (131% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Pinnacle Claims Tpa/Bc | $1 - $1,005 | 15% |
| Western Growers Trust/Bc | $1 - $1,005 | 15% |
| Adventist Risk Management | $2 - $902 | 29% |
| Aetna | $2 - $925 | 29% |
| Cigna | $2 - $790 | 29% |
| First Health | $2 - $902 | 29% |
| Geha (Ccn) | $2 - $902 | 29% |
| Great-West/Phcs | $2 - $790 | 29% |
| Health Net Blue And Gold | $2 - $707 | 29% |
| Health Net Canopycare Hmo | $2 - $707 | 29% |
| Health Net Of California | $2 - $707 | 29% |
| Health Net Pmg Hmo | $2 - $707 | 29% |
| Health Net Smartcare Netw | $2 - $677 | 29% |
| Multiplan Inc Ppo | $2 - $880 | 29% |
| Pacificare Hmo | $2 - $677 | 29% |
| Pacificare Ppo | $2 - $677 | 29% |
| Private Healthcare System | $2 - $880 | 29% |
| Self Pay | $2 - $677 | 29% |
| Transwestern | $2 - $902 | 29% |
| UnitedHealthcare | $2 - $677 | 29% |
| Western Health Advantage | $2 - $564 | 29% |
| Aaa | $3 - $1,128 | 44% |
| Aarp | $3 - $1,128 | 44% |
| Allstate | $3 - $1,128 | 44% |
| Apwu Health Plan | $3 - $1,128 | 44% |
| Bankers Life & Casualty | $3 - $1,128 | 44% |
| Blue Cross Blue Shield | $3 - $1,005 | 44% |
| Calif Ironworkers Field | $3 - $1,005 | 44% |
| Carpenters H&W Trust | $3 - $1,005 | 44% |
| City Of Wats/Pinnacle Clm | $3 - $1,005 | 44% |
| Claims Management Wc | $3 - $1,005 | 44% |
| Coastal Healthcare Admin | $3 - $1,015 | 44% |
| Delta Health Systems | $3 - $1,005 | 44% |
| Farmers Insurance | $3 - $1,128 | 44% |
| Humana | $3 - $1,128 | 44% |
| Laborers Health & Welfare | $3 - $1,005 | 44% |
| Miscellaneous Auto | $3 - $1,128 | 44% |
| Miscellaneous Insurance | $3 - $1,128 | 44% |
| Monterey Bay Pub Emp Trst | $3 - $1,005 | 44% |
| North Calif Bakery Driver | $3 - $1,128 | 44% |
| Operating Engineers | $3 - $1,005 | 44% |
| Physicians Mutual | $3 - $1,128 | 44% |
| Prucare Pmg Hmo | $3 - $1,128 | 44% |
| Prucare Pmg Pos | $3 - $1,128 | 44% |
| Robert Kennedy/Ccn | $3 - $1,005 | 44% |
| Salinas Valley Mem Hops | $3 - $959 | 44% |
| Sheet Metal Workers | $3 - $1,005 | 44% |
| State Compensation Fund | $3 - $1,005 | 44% |
| State Farm Ins | $3 - $1,128 | 44% |
| Sutter Health Plus | $3 - $1,128 | 44% |
| Teamsters Benefit Trust | $3 - $1,005 | 44% |
| Travelers Insurance | $3 - $1,128 | 44% |
| United Administrative | $3 - $1,128 | 44% |
| Victim Compensation Plan | $3 - $1,128 | 44% |
| Well Path | $3 - $1,128 | 44% |
| Wholesale Beer Distributo | $3 - $1,128 | 44% |
| Zenith National Ins | $3 - $1,128 | 44% |
| Ace-Usa | $7 | 102% |
| Alignment Health Plan | $7 | 102% |
| Beta Healthcare Group | $7 | 102% |
| Blue Shield Ppo | $7 - $22 | 102% |
| Crawford & Co | $7 | 102% |
| Fireman'S Fund Work Comp | $7 | 102% |
| Fleming & Associates | $7 | 102% |
| Gallagher Bassett Svcs | $7 | 102% |
| Hartford Workers' Comp | $7 | 102% |
| Keenan & Assoc Work Comp | $7 | 102% |
| Kemper Group Workers Comp | $7 | 102% |
| Liberty Mutual Work Comp | $7 | 102% |
| Medicare (plans) | $7 | 102% |
| Miscellaneous Work Comp | $7 | 102% |
| Nx Health Network | $7 | 102% |
| Pinnacle Healthcare Uc | $7 | 102% |
| Republic Idemnity W/Comp | $7 | 102% |
| Secure Horizons | $7 | 102% |
| Secure Horizons Dign Hmo | $7 - $226 | 102% |
| Tricare | $7 | 102% |
| U.S. Dept. Of Labor | $7 | 102% |
| Veterans Administration | $7 | 102% |
| Western Growers Work Comp | $7 | 102% |
| Workers Comp | $7 | 102% |
| Alliance/Sccho | $9 | 131% |
| California Childrens Srvs | $9 | 131% |
| Ccs/Monterey County | $9 | 131% |
| Healthy Families | $9 - $22 | 131% |
| Medi-Cal E.R. | $9 | 131% |
| Medi-Cal/Eds | $9 | 131% |
| Medicaid / KanCare | $9 | 131% |
| Bs Employee | $22 | 319% |
| Ufcw/Valley Clerks | $22 | 319% |
| United Agriculture | $22 | 319% |
| Medicruz | $203 | 2946% |
| Blue Shield Hmo | $226 | 3280% |